鼻咽癌放疗患者心理痛苦的影响因素分析及护理干预  

Analysis of factors influencing psychological pain of patients with nasopharyngeal carcinoma radiotherapy and its nursing intervention

作　　者：林帅帅[1] 李淑英[1] LIN Shuai-shuai;LI Shu-ying

机构地区：[1]山东大学齐鲁医院放疗科,济南市250012

出　　处：《护理实践与研究》2020年第12期35-37,共3页Nursing Practice and Research

摘　　要：目的探讨鼻咽癌放疗患者心理痛苦的影响因素及护理措施。方法选取2018年2月至2019年6月我院收治的118例鼻咽癌放疗患者为研究对象,采用基本资料调查表和心理痛苦温度计(dtress thermometer,DT)评价,并通过多元线性回归分析影响其心理痛苦的独立危险因素。结果多元线性回归分析显示,放疗导致皮肤损伤级别、口腔黏膜放射性损伤分级、癌症分期、家属支持与照护情况、羞耻感程度是影响鼻咽癌放疗患者心理痛苦的独立危险因素(P<0.05)。结论鼻咽癌放疗患者普遍存在心理痛苦,应针对不同影响因素,及时展开心理健康评估,重视放疗后并发症管理,督促家属协助降低其不良情绪。Objective To explore the influencing factors and nursing measures of psychological pain of patients with nasopharyngeal carcinoma radiotherapy.Methods To select 118 cases of patients with nasopharyngeal carcinoma radiotherapy treated in our hospital from February 2018 to June 2019 as the study objects.The basic data questionnaire and psychological distress thermometer(DT)were used to evaluate,and the multiple linear regression analysis was used to analyze the independent risk factors affecting their psychological distress.Results Multiple linear regression analysis showed that the level of skin damage,radiation damage grade of oral mucosa,cancer stage,family support and care,and degree of shame were the independent risk factors that affected the psychological pain of patients with nasopharyngeal carcinoma radiotherapy(P<0.05).Conclusion Patients suffering from nasopharyngeal carcinoma radiotherapy had generally psychological distress.It was necessary to conduct a timely mental health assessment for different influencing factors,pay attention to the management of complications after radiotherapy,and urge family members to help reduce their negative emotions.

关 键 词：鼻咽癌放疗 心理痛苦 影响因素 护理干预 

分 类 号：R473.73[医药卫生—护理学]