口腔卫生宣教结合口腔定位支架在头颈部肿瘤患者放疗护理中的临床观察  

Clinical effect of oral hygiene education combined with oral positioning stent in patients accepted radiotherapy with head and neck tumors

作　　者：周敏[1] 黄生富[2] 郭业松[2] 卢晓林[3] 孙方方[1] ZHOU Min;HUANG Shengfu;GUO Yesong;LU Xiaolin;SUN Fangfang(Department of Prosthodontics,Stomatological Hospital Affiliated to Medical College of Nanjing University,Nanjing 210008,China;Department of Radiotherapy,Jiangsu Cancer Hospital,Nanjing 210008,China;Department of Oral and Maxillofacial Surgery,Stomatological Hospital Affiliated to Medical College of Nanjing University,Nanjing 210008,China)

机构地区：[1]南京大学医学院附属口腔医院口腔修复科,南京210008 [2]江苏省肿瘤医院放疗科,南京210008 [3]南京大学医学院附属口腔医院口腔颌面外科,南京210008

出　　处：《长春中医药大学学报》2021年第3期658-661,共4页Journal of Changchun University of Chinese Medicine

基　　金：南京市医学科技发展资金资助项目(QRX17175)。

摘　　要：目的观察口腔卫生宣教结合口腔定位支架在头颈部肿瘤患者放疗护理中的临床疗效。方法选取头颈部肿瘤放疗患者52例,其中观察组27例,对照组25例。对照组在放疗期间接受常规的护理治疗,观察组在常规护理之外,取模制作个性化口腔支架,并给予深度口腔卫生宣教。放疗结束时评估患者的口腔舒适度和口腔卫生状况,同时问卷调查患者对护理治疗的满意度。结果2组的口腔舒适度,无症状的患者数量均为0,观察组患口腔轻、中、重度不舒适的发生率为10/27(37.0%),16/27(59.3%),1/27(3.7%),对照组分别为3/25(12%),15/25(60%),7/25(28%),差异有统计学意义(Mann-Whitney U:204.5;P<0.05);观察组的口腔卫生状况较对照组佳,差异有统计学意义(Mann-Whitney U:分别为131.0和60.0,P<0.05);观察组对护理治疗的不满意、一般、满意、非常满意比率分别为0/27(0%),1/27(3.7%),15/27(55.6%),11/27(40.7%),对照组为1/25(4%),8/25(32%),14/25(56%),2/25(8%),差异有统计学意义(Mann-Whitney U:166.0;P<0.05)。结论口腔定位支架的使用结合口腔卫生宣教有利于提高头颈部肿瘤患者的口腔舒适度,改善口腔卫生,提高患者对于护理治疗的满意度。Objective To evaluate the clinical effect of oral health education combined with oral positioning stent in patients accepted radiotherapy with head and neck tumors.Methods A total of 52 patients were selected,27 in observation group and 25 in control group.Patients in the control group received routine nursing care before and during radiotherapy.Patients in the observation group underwent radiotherapy with personalized oral positioning stents and were served detailed oral health education,in addition to routine nursing.Patients’oral comfort degree,oral hygiene status and satisfaction of nursing service were evaluated after radiotherapy.Results The number of asymptomatic patients in the two groups was 0.The incidence of mild,moderate and severe oral discomfort in the observation group were 10/27(37.0%),16/27(59.3%),1/27(3.7%),and those in the control group were 3/25(12%),15/25(60%),7/25(28%).The statistical difference was significant(Mann-Whitney U:204.5;P<0.05).The oral hygiene status of the patients in the observation group was better than that in the control group,with significant statistical difference(Mann-Whitney U:131.0 and 60.0,respectively,P<0.05).The rate of dissatisfied,commonly satisfied,satisfied and pretty satisfied patients with nursing care in the observation group were 0/27(0%),1/27(3.7%),15/27(55.6%),11/27(40.7%),while in the control group,those were 1/25(4%),8/25(32%),14/25(56%),2/25(8%),with statistically significant difference(Mann-Whitney U:166.0;P<0.05).Conclusion The use of oral positioning stent combined with oral health education is conducive to improve the oral comfort of patients with head and neck cancer,improve the oral health,and improve the patients’satisfaction with nursing treatment.

关 键 词：口腔卫生宣教 口腔定位支架 头颈部肿瘤 放射治疗 

分 类 号：R473.5[医药卫生—护理学]