摘要
目的研究基于因果分析的风险干预对鼻咽癌放疗患者放射性口腔炎(ROM)的预防效果。方法选取2017年1月至2019年12月在本院放疗科治疗的90例鼻咽癌患者,根据护理方式将患者分为常规组(常规护理)37例和干预组(常规组基础上进行因果分析的风险干预)43例,比较两组患者ROM发生率、发生时间、放射性黏膜损伤(RTOG)评分、自我护理能力测定量表(ESCA)评分、口腔健康影响量表(OHIP)评分和张口困难发生率。结果干预组的口腔炎发生率为69.77%,低于常规组的89.19%(P<0.05);干预组的ROM发生时间晚于常规组,RTOG评分、OHIP评分低于常规组,ESCA评分高于常规组(P<0.05);干扰组张口困难的发生率为62.79%,低于常规组的86.48%(P<0.05)。结论对鼻咽癌放疗患者采用基于因果分析的风险干预,有效降低ROM发生率、延迟ROM发生时间,提高患者自护能力,保护口腔粘膜,减少张口困难并发症,预防效果良好。
Objective To study the preventive effect of risk intervention based on causality analysis on radiation oral mucositis(ROM)in patients undergoing nasopharyngeal carcinoma(NPC)radiotherapy.Method A total of 90 NPC patients who were treated in radiotherapy department of the hospital from January 2017 to December 2019 were enrolled.According to different nursing methods,they were divided into routine group(routine nursing,37 cases)and intervention group(risk intervention based on causality analysis on basis of routine group,43 cases).The incidence and occurrence time of ROM,scores of Radiation Therapy Oncology Group(RTOG),exercise of self-care agency scale(ESCA)and oral health impact profile(OHIP),and incidence of trismus were compared between the two groups.Results The incidence of mucositis in intervention group was lower than that in routine group(69.77%vs 89.19%)(P<0.05).The occurrence time of ROM in intervention group was later than that in routine group,RTOG and OHIP scores were lower than those in routine group,and ESCA score was higher than that in routine group(P<0.05).The incidence of trismus in interference group was lower than that in routine group(62.79%vs 86.48%)(P<0.05).Conclusion The application of risk intervention based on causality analysis in patients undergoing NPC radiotherapy can effectively reduce the incidence of ROM,delay occurrence time of ROM,improve self-care ability,protect oral mucosa,and reduce trismus complications,with good preventive effect.
作者
梁晨艳
周燕
吕魏潇
应晓珍
LIANG Chenyan;ZHOU Yan;LU Weixiao;YING Xiaozhen(Department of Radiotherapy,Lishui Central Hospital,Lishui,Zhejiang,323000,China)
出处
《中国中西医结合耳鼻咽喉科杂志》
2022年第1期49-52,13,共5页
Chinese Journal of Otorhinolaryngology in Integrative Medicine
关键词
因果分析
放疗
鼻咽癌
放射性口腔炎
风险干预
causality analysis
radiotherapy
nasopharyngeal carcinoma
radiation oral mucositis
risk intervention
