ADOPT护理模式联合团体干预在鼻咽癌患者中的应用效果  

Effect of ADOPT nursing mode combined with group intervention in patients with nasopharyngeal carcinoma

作　　者：黄晓琴[1] 喻燕敏[1] 芦肖璠 张何琴 HUANG Xiaoqin;YU Yanmin;LU Xiaofan;ZHANG Heqin(Department of Oncology,Jiangxi Provincial People′s Hospital,Nanchang,Jiangxi,330006)

机构地区：[1]江西省人民医院肿瘤科,江西南昌330006

出　　处：《实用临床医药杂志》2021年第2期97-100,共4页Journal of Clinical Medicine in Practice

基　　金：江西省卫生计生委中医药科研课题项目(2017B008)。

摘　　要：目的观察ADOPT护理模式联合团体干预在鼻咽癌患者中的应用效果。方法选取120例鼻咽癌放疗患者作为研究对象,随机分为观察组和对照组,每组60例。对照组采用常规护理模式,观察组在此基础上采用ADOPT护理模式联合团体干预,2组护理干预时间均为7周。比较2组患者放射性口腔黏膜损伤发生率、张口困难程度以及癌症患者生活质量测定量表(FACT)评分。结果护理后,2组日常活动、家庭生活、情绪、活动能力评分均高于护理前,且观察组各评分高于对照组,差异有统计学意义(P<0.05);观察组放射性口腔黏膜损伤程度低于对照组,差异有统计学意义(P<0.05);护理后,2组门齿距均大于护理前,但观察组门齿距大于对照组,差异有统计学意义(P<0.05);护理后,2组张口困难程度均低于护理前,且观察组张口困难程度低于对照组,差异有统计学意义(P<0.05)。结论将ADOPT护理模式联合团体干预应用于鼻咽癌患者中,可降低放射性口腔黏膜损伤程度和张口困难程度,提升患者生活质量。Objective To observe effect of ADOPT nursing mode combined with group intervention for patients with nasopharyngeal carcinoma.Methods A total of 120 nasopharyngeal carcinoma patients with radiotherapy were selected as research objects.All patients were randornly divided into observation group(n=60)and control group(n=60).The control groups adopted the routine nursing mode,and the observation group adopted combination of adopt nursing mode and group intervention based on the control group.The nursing intervention in both groups lasted 7 weeks.The incidence rates of radiative oral mucosal injury,difficulty degree in opening mouth and Functional Assessment of Cancer Therapy(FACT)score were compared between the two groups.Results After nursing,the scores of patients′daily activities,family life,emotion and activity ability increased significantly,and the above scores of the observation group were significantly higher than those in the control group(P<0.05).The degree of oral mucosa damage in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).After nursing,the distances between upper and lower incisors in the two groups were significantly greater than those before nursing,and the observation group was greater than that in the control group(P<0.05).The degree of mouth opening difficulty in the two groups was significantly lower than that before nursing,and the observation group in the above indicator was lower than that in the control group(P<0.05).Conclusion ADOPT nursing model combined with group intervention in patients with nasopharyngeal carcinoma can reduce the degree of radiation oral mucosal injury and difficulty in opening the mouth,and improve the quality of life of patients.

关 键 词：ADOPT模式 团体干预 放射性口腔黏膜损伤 张口困难程度 

分 类 号：R739.6[医药卫生—肿瘤] R473.73[医药卫生—临床医学]