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[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。
[Objective] To clarify the factors influencing the adherence of the biopsy pathological examination in the cancer hospital and the significance of intervention research. [Methods] Through retrospective analysis and prospective questionnaire survey, we analyzed the related factors that affected the compliance of patients in Liaoning Provincial Tumor Hospital during 2014 and 2015 outpatient department. Carry out active research, communication and training, multi-dimensional notification and other work to explore changes in compliance. [Results] The biopsy compliance rates in 2014 and 2015 were 64.3% (820/1275) and 72.9% (981/1345) respectively (P <0.05). The main factors leading to poor biopsy compliance are elder age, education level, living in rural areas. Interventions effectively increased patient compliance, with increased adherence in older and less educated patients even more pronounced. [Conclusion] In order to improve the compliance of outpatient biopsy operation, we should strengthen the communication and improve the effectiveness of communication. Especially for elderly, less educated patients, active intervention can help improve the compliance of out-patient biopsy surgery.