Influence of follow-up telephone on the effect of GnRH-a treatment among uterine adenomyoma postoperative patients

Abstract

Objective By means of telephone follow-up care intervention, we aimed to explore the effect of clinical efficacy and the ability to cope with adverse reaction among uterine adenomyoma postoperative patients after receiving GnRH-a treatment.Methods From January 2009 to December 2011, 115 patients who underwent uterine adenomyoma surgery combined with GnRH-a treatment were divided into two groups.The research group of 55 patients received positive guidance of food, rest, activities, life, spirit and so on through telephone, also a continuous psychological intervention of subsequent visit reminding and the solutions to adverse reactions.Then the 60 cases in the control group only received the conventional outpatient follow-up at regular intervals according to their competent doctor, without any telephone follow-up of nursing intervention.Results In the research group, the dysmenorrhea of 53 patients （ 96.36%） was relieved or disappeared, 52 patients （94.54%） did not relapse after surgery.The menstrual blood volume was decreased and the period of the menstrual was reduced within 52 patients （94.54%）.Those values of the control group were 49（89.09%）, 51（92.72%） and 50（90.90%）.There was no significant difference between groups （χ2 =1.21, 0.00, 0.13, respectively;P 〉0.05）.After the treatment of GnRH-a, the adverse reactions such as hot flashes, night sweats, skin rash as well as acne, and the compliance were significantly improved （χ2 =6.15, 6.15, 4.45, 5.04, 4.25, 4.25, respectively; P〈0.05）.There were also significant differences in keeping medication, regular examine, changing bad habits and the compliance of coping with the adverse reaction （χ2 =5.49, 7.31, 14.31, 10.45, respectively;P〈0.05）.Conclusions Telephone follow-up care intervention can improve the compliance of uterine adenomyoma postoperative patients receiving GnRH-a treatment, reduce the adverse reaction and help patients cope with adverse reactions effectively in the right way, and lead to better relationship between nurses and patients. Key words: Follow-up study; Nursing intervention; Uterine adenomyoma; GnRH-a treatment