护理干预对降低鼻咽癌调强放疗后皮肤反应的影响研究  

Research on the nursing intervention reduse cutaneous reaction after intensity modulated radiation therapy in patients with nasopharyngeal carcinoma

作　　者：赵春樱[1] 陈玲[2] 王多明[1] 张翠萍[2] 

机构地区：[1]新疆医科大学附属肿瘤医院放疗科,乌鲁木齐830011 [2]新疆医科大学附属肿瘤医院护理部,乌鲁木齐830011

出　　处：《新疆医科大学学报》2013年第9期1382-1384,共3页Journal of Xinjiang Medical University

基　　金：新疆维吾尔自治区科技厅国际合作项目(201141138);乌鲁木齐市人才工程重点培养对象专项基金(P112310001)

摘　　要：目的观察并研究护理干预对于鼻咽癌调强放疗后皮肤反应的影响。方法选取新疆医科大学附属肿瘤医院放疗科2011年7月-2013年1月收治鼻咽癌初治患者并行适形调强放疗86例,采用随机法分为对照组(43例)和护理干预组(43例)。对照组采用传统护理模式进行放射野皮肤的护理,护理干预组在传统护理模式基础上对放射野皮肤采取护理干预模式进行护理。结果护理干预组患者放疗后皮肤反应发生程度明显低于对照组(P<0.001),放疗后因皮肤损伤而导致治疗中断的百分率明显低于对照组,差异有统计学意义(P<0.05)。结论针对性护理干预模式减轻了鼻咽癌调强放疗后皮肤反应的发生程度,保证了患者的治疗效果,方法简单易行,值得临床推广应用。Objective To research on the nursing intervention reduse cutaneous reaction after intensity modulated radiation therapy in patients with nasopharyngeal carcinoma. Methods 86 patients with naso pharyngeal carcinoma （NPC） were divided into control group and nursing intervention group, and suffered intensity modulated radiation therapy （IMRT）, each group had 43 patients. Results The traditional nurs ing mode was used in control group, but the nursing intervention mode was added significant lower in nursing intervention group （P 〈0. 001）, the treatment interruption percentage caused by skin injury after radiation was also significant lower in nursing intervention group （P 〈0.05）. Conclusion The nursing in- tervention could reduce cutaneous reaction after IMRT in NPC, improving the effect of treatment, and does not increase financial burden, worth to it s popularization and application in clinic.

关 键 词：护理干预 鼻咽癌 适形调强放疗 皮肤反应 

分 类 号：R47[医药卫生—护理学]