预见性护理干预对减轻乳腺癌放疗后皮肤反应的影响  

The effect of predictive nursing intervention on reducing the skin reaction of breast cancer after radiotherapy

作　　者：杨维萍 祝志娟[2] 徐国英[1] YANG Weiping;ZHU Zhijuan;XU Guoying(Department of Oncology and Radiotherapy,the General Hospital of Medical Community of Shaoxing Second Hospital in Zhejiang Province,Shaoxing 312000,China;Department of Public Health,the General Hospital of Medical Community of Shaoxing Second Hospital in Zhejiang Province,Shaoxing 312000,China)

机构地区：[1]浙江省绍兴第二医院医共体总院肿瘤放疗科,浙江绍兴312000 [2]浙江省绍兴第二医院医共体总院公共卫生科,浙江绍兴312000

出　　处：《中国现代医生》2021年第18期159-162,共4页China Modern Doctor

基　　金：浙江省医药卫生科技计划项目(2016ZHB032)。

摘　　要：目的分析预见性护理干预对减轻乳腺癌放疗后皮肤反应的作用。方法回顾性分析2018年3月至2019年3月我院收治的83例乳腺癌放疗患者作为观察组,再回顾性分析我院2016年2月至2017年2月收治的83例乳腺癌患者为对照组。对照组给予常规护理,观察组在常规护理基础上给予预见性护理干预模式。比较两组患者生活质量、放射性皮炎程度、出现放射性皮肤反应的时间。结果观察组生活质量评分为(105.25±16.94)分,高于对照组的(92.13±14.68)分,差异有统计学意义(P<0.05)。观察组放射性皮炎Ⅱ级及以上发生率为42.17%,低于对照组的75.90%,差异有统计学意义(P<0.05)。观察组放射性皮炎发生时间为(16.05±1.73)d,长于对照组(13.27±1.44)d,差异有统计学意义(P<0.05)。结论预见性护理能够有效减轻乳腺癌放疗后皮肤反应,生活质量得到提高,值得临床推广。Objective To analyze the effect of predictive nursing intervention on reducing the skin after breast cancer radiotherapy.Methods A total of 83 breast cancer patients treated in our hospital from March 2018 to March 2019 were selected as the observation group,and 83 breast cancer patients admitted to our hospital from February 2016 to February 2017 were selected as the control group.The control group was given routine nursing,and the observation group was given a predictive nursing intervention model based on routine care.The quality of life,the degree of radiation dermatitis,and the time of radiation skin reaction were compared between the two groups.Results The quality of life score of the observation group was(105.25±16.94)points,which was significantly higher than that of(92.13±14.68)points in the control group,with significant difference(P<0.05).The incidence of radiation dermatitis above grade II in the observation group was 42.17%,which was significantly lower than that of 75.90%in the control group,with significant difference(P<0.05).The occurrence time of radiation dermatitis in the observation group was(16.05±1.73)days,which was significantly longer than that of(13.27±1.44)d in the control group,with significant difference(P<0.05).Conclusion Predictive nursing can effectively reduce the skin reaction after breast cancer radiotherapy and improve the quality of life.It is worthy of clinical promotion.

关 键 词：预见性护理 乳腺癌 放疗 放射性皮炎 

分 类 号：R473.71[医药卫生—护理学]