行为护理对首次住院鼻咽癌患者放射治疗张口锻炼依从性的影响  

The effect of behavioral care on mouth exercise compliamce in initial hospitalization nasopharyngeal camcer patients with radition therapy

作　　者：陈艳[1] 易珑[1] 程平[1] 杨继红[1] 王顺[2] 

机构地区：[1]四川省肿瘤医院头颈乳腺放疗科,成都市610041 [2]海南医学院附属医院放疗科,海口市570102

出　　处：《护理管理杂志》2015年第10期725-726,共2页Journal of Nursing Administration

基　　金：海南省卫生厅课题(琼卫2012 PT-25)

摘　　要：目的探讨行为护理对首次住院鼻咽癌患者放射治疗张口锻炼依从性日影响。方法将首次住院治疗鼻咽癌的176例患者按照抽签原则分为治疗组和对照组各88例,对照组放疗治疗期间给予常规日常护理,治疗组在放疗治疗期间给予积极的行为护理,持续1个月。结果所有患者完成放疗,治疗组的张口受限发生率低于对照组(P<0.01);张口锻炼信念、意愿及信心评分高于对照组(P<0.01)。结论行为护理在首次住院治疗鼻咽癌患者放射治疗中的应用能改善张口受限情况,提高张口锻炼的依从性,降低并发症的发生,有利于提高患者生存质量。Objective To evaluate the effect of behavioral care on mouth exercise compliance in initial hospitalization nasopharyngeal cancer patients by the IMRT. Methods Totally,176 initial hospitalized patients with nasopharyngeal were randomly divided into two groups. Patients in the control group were re- ceived routine daily care during radiotherapy, and patients in the treatment group were given actively behavioral treatment for 1 month. Results All patients com- pleted radiotherapy, and the incidence of trismus in the treatment group was lower them that of the control group 45.5 % versus 86.4% （ P 〈 0.05 ）. After an in- vestigation after radiotherapy, the mouth exercise faith, willingness and confidence scores in the treatment group were significantly higher （P 〈 0. 05 ）. Conclusion Behavioral care for the initial hospitalization nasopharyngeal carcinoma patients can improve trismus situation, raise mouth exercise compliance, re- duce the incidence of complications, and improve the quaity of life.

关 键 词：行为护理 鼻咽癌 张口锻炼 依从性 

分 类 号：R473.76[医药卫生—护理学]