摘要
目的探讨系统性护理干预在鼻咽癌患者调强适形放疗中的作用。方法 108例鼻咽癌患者采用单双号尾数法分为观察组与对照组,每组各54例,对照组患者进行常规护理干预,观察组在对照组基础上进行系统化护理干预,包含心理护理、口腔护理、皮肤护理、运动指导及社会支持护理等,比较两组患者干预后的张口困难、口腔黏膜溃疡及癌症患者生活质量问卷(QLQ-CR30)评分状况。结果干预后观察组的张口困难(37.0%vs 57.4%)及口腔黏膜溃疡(51.9%vs 75.9%)的发生率均显著低于对照组;P<0.05,干预后,观察组患者的功能维度得分显著高于对照组,P<0.001,观察组干预后症状领域下的疲劳、疼痛,单项项目下的失眠、食欲下降、便秘得分均显著低于对照组,P<0.001。结论系统护理干预可有效降低鼻咽癌适形化疗后的张口困难及口腔黏膜损伤的发生率,提升生活质量。
Objective To explore the efficacy of Systematic nursing intervention in patients with nasopharyngeal carcinoma intensity modulated conformal radiotherapy. Methods 108 cases patients with nasopharyngeal carcinoma were divided into the observation group and the control group,each group contained 54 cases. The control group treated with routine nursing intervention,and the observation group treated with Systematic nursing intervention on the basis of the control group. Include psychological care,oral care,skin care,exercise guidance and social support care. The Trismus rate oral ulcers and the quality of life questionnaire（ QLQ-CR30） score status were compared between the two groups. Results The trismus rate（ 37. 0% vs57.4%） and oral ulcers（ 51. 9% vs75. 9%） occurred in the observation group were significantly lower than the control group,P〈0. 05; After the intervention, the functional dimension of the observation group were significantly higher scores,P〈0. 001. the fatigue,pain,insomnia,loss of appetite,constipation scores in the observation group were significantly lower than the control group,P〈0. 001. Conclusions The system of care appropriate intervention can effectively reduce nasopharyngeal trismus and incidence of oral mucosal injury in the form of chemotherapy,improve quality of life.
出处
《齐齐哈尔医学院学报》
2015年第14期2152-2154,共3页
Journal of Qiqihar Medical University
关键词
系统性护理
鼻咽癌
调强适形放疗
疗效
Systemic treatments Nasopharyngeal carcinoma Intensity modulated conformal radiotherapy Efficacy
