| 裴文晔,王 萍,姜 爽.肿瘤专科医院门诊手术病理活检患者依从性及干预研究[J].肿瘤学杂志,2016,22(3):226-229. |
| 肿瘤专科医院门诊手术病理活检患者依从性及干预研究 |
| Investigation and Intervention on Compliance of Biopsy Surgery in Outpatient in Cancer Specific Hospital |
| 投稿时间：2016-01-10 |
| DOI：10.11735/j.issn.1671-170X.2016.03.B015 |
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| 中文关键词: 活检 依从性 肿瘤 病理学 |
| 英文关键词:biopsy compliance neoplasms pathology |
| 基金项目:辽宁省科学技术厅2015年自然科学基金（2015020269） |
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| 中文摘要: |
| 摘 要：［目的］ 明确影响肿瘤专科医院门诊活检病理检查依从性的因素及干预研究的意义。［方法］ 通过回顾性分析及前瞻性问卷调查，分析影响辽宁省肿瘤医院2014、2015年度门诊3个诊室开具活检手术医嘱患者依从性的相关因素。开展主动调研，沟通培训、多维度告知等工作，探讨依从性变化情况。［结果］ 2014、2015年度活检依从率分别为64.3%（820/1275）与72.9%（981/1345）（P<0.05）。致活检依从性不良的主要因素有高龄、受教育程度、居住农村。干预措施有效地提高了患者的依从性，其中高龄及教育程度较低患者的依从性提高更为显著。［结论］ 为了提高门诊活检手术依从性，应该加强告知，提高沟通的有效性。特别对于高龄、文化程度较低的患者，积极干预有助于提高门诊活检手术依从性。 |
| 英文摘要: |
| Abstract：［Purpose］ To investigate the factors influencing the compliance of outpatient biopsy in cancer specific hospital and to analyze the effect of intervention. ［Methods］ A retrospective analysis and a prospective questionnaire were conducted to investigate the factors related to the biopsy compliance from 3 consultation rooms from Liaoning Cancer Hospital from 2014 to 2015. To improve biopsy compliance，active survey，communication training，multi-dimension informed consent were carried out. ［Results］ The compliance rate of biopsy in 2014 and 2015 were 64.3% (820/1275) and 72.9% (981/1345)，respectively (P<0.05). The main factors correlated with adverse biopsy compliance were senior age，less education，suburban residue. The intervention measures effectively improved the patient’s compliance，especially in elderly or lower education level patients. ［Conclusion］ In order to improve the compliance of outpatient biopsy，communication should be strengthened and the effectiveness of communication should be improve. Active intervention is supportive to increase the compliance of biopsy surgery，especially for the elderly patients and patients with lower education. |
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