分段式健康教育模式在鼻咽癌同步放化疗患者中的应用研究  

Application research of the segmented health education model to concurrent chemoradiation in patients with nasopharyngeal carcinoma

作　　者：吴军[1] 李章丽[1] 邓翠琴 钟苑婷 崔伟燕[1] 

机构地区：[1]广东省第二人民医院肿瘤一科,广州510317

出　　处：《当代护士（下旬刊）》2017年第3期167-169,共3页Modern Nurse

摘　　要：目的探讨分段式健康教育模式对鼻咽癌同步放化疗患者康复质量的影响。方法将100例行鼻咽癌同步放化疗的患者随机分为对照组和观察组,每组50例。对照组实施以管床护士为主导的责任制健康教育模式,观察组实施管床护士-专职护士-护理组长-护士长在不同治疗阶段参与的分段式健康教育模式,两组均给予放化疗知识宣教、功能锻炼指导。出院后1个月进行随访和功能锻炼依从性调查,出院后6个月进行生活质量评价。结果观察组和对照组放化疗知识知晓率分别为94%、70%,两组比较存在统计学意义(P<0.01)。观察组出院后1个月功能锻炼依从性及出院后6个月生活质量评价得分高于对照组,差异有统计学意义(P<0.01)。结论分段式健康教育模式可提高鼻咽癌同步放化疗患者放化疗知识的知晓率及功能锻炼依从性,进而减轻患者放化疗不良反应,提高患者治疗效果及康复质量。Objective To investigate the rehabilitation effect of segmented health education model on concurrent chemoradiation in patients with nasopharyngeal carcinoma.Methods 100 nasopharyngeal carcinoma patients with concurrent chemoradiation were equally randomized di- vided into control group and observation group.The control group was implemented the responsible health education management model domi- nated by the nurses.The observation group was implemented by the nurse bed managers-full-time nurse-nursing group leader-matron partici- pated into segmented health education model in different treatment stages.Both of the two group patients were given chemoradiation knowledge of education, functional exercise instruction.After discharge 1 month, follow-up and functional exercise compliance was investigated, and after discharge 6 months ,the quality of life was evaluated.Results The awareness rate of chemoradiation knowledge in the observation group and the ＂control group were 94% and 70% respectively, the difference between two groups was statistically significant（P〈0.01 ）.The functional exercise compliance after discharge 1 month, and life quality of after discharge 6 months after discharge were better in the observation group than in the control group, all the differences between two groups were statistically significant （P〈0.01）. Conclusion Segmented health education model can improve the awareness rate of chemoradiation knowledge and functional exercise compliance, and further reduce the adverse reaction, improve the treatment effect and rehabilitation quality in nasopharyngeal carcinoma patients with concurrent chemoradiation.

关 键 词：鼻咽癌 同步放化疗 健康教育模式 康复质量 

分 类 号：R473.73[医药卫生—护理学]