护理干预对鼻咽癌患者放射性口咽粘膜反应的影响  

Nursing intervention for oropharyngeal mucosa reaction induced by radiotherapy in patients with nasopharyngeal carcinoma

作　　者：刘小丹 谢满[2] 

机构地区：[1]赣州市肿瘤医院 [2]赣南医学院第一附属医院,江西赣州341000

出　　处：《赣南医学院学报》2013年第2期295-297,共3页JOURNAL OF GANNAN MEDICAL UNIVERSITY

摘　　要：目的:观察护理干预对鼻咽癌患者放疗致口咽粘膜反应的影响。方法:将80例鼻咽癌患者随机分为对照组和观察组,两组各40例。在放疗过程中,对照组给予常规的护理及对症处理;观察组全程给予针对性的护理干预,即病情评估、心理护理、健康教育、饮食指导、口腔护理等。结果:当放射剂量达30 Gy、50 Gy时,观察组发生Ⅲ、Ⅳ级放射性口咽炎的例数均少于对照组,但无统计学意义(P>0.05)。放射剂量达到70 Gy时,观察组仍以Ⅰ、Ⅱ级为主,而对照组则以Ⅲ、Ⅳ级为主,两组比较有显著性差异(P<0.01)。结论:主动对患者行全程护理干预,可以减轻患者放射性口咽炎发生的程度,提高生活质量,有助于患者顺利完成放疗。Objective ：To observe the nursing intervention for oropharyngeal mucosa reaction induced by radiotherapy in patients with nasopharyngeal carcinoma. Methods： 80 cases of nasopharyngeal carcinoma patients were randomly divided into observation group and control group,40 cases in each group. In the course of radiotherapy, the control group was giv- en routine care and symptomatic treatment. The observation group was given the whole targeted nursing interventions, con- dition assessment, psychological care, health education, dietary guidance, oral care. Results：When the radiation dose of 30 Gy,50 Gy,the observation group of III, IV level radioactive export pharyngitis were less than that of the control group, but no statistical significance （P 〉 0.05）. Radiation dose at 70 Gy, the observation group still with level I , II , and control group with level III, IV, two groups had significant difference （P 〈 0.01 ）. Conclusion：With active nursing inter- vention to the patients, patients could alleviate radioactive oropharyngeal occurrence degree, improve the quality of life, contribute to the successful completion of radiotherapy patients.

关 键 词：护理干预 鼻咽癌 放疗 口咽粘膜反应 影响 

分 类 号：R473.73[医药卫生—护理学]