护理流程优化对前列腺癌患者放射性肠炎的影响  

Effect of nursing process optimization on radiation enteritis in prostate cancer patients

作　　者：郑利媛 黄定凤[1] 王惠芬[2] 罗珍 杨洁 Zheng Liyuan;Huang Dingfeng;Wang Huifen;Luo Zhen;Yang Jie(Department of Abdominal Radiotherapy,Hubei Cancer Hospital,Wuhan 430079,China)

机构地区：[1]湖北省肿瘤医院腹部放疗科,湖北武汉430079 [2]湖北省肿瘤医院护理部,湖北武汉430079

出　　处：《护理学杂志》2022年第19期21-25,共5页Journal of Nursing Science

摘　　要：目的减轻前列腺癌放疗患者不良治疗体验。方法将115例前列腺癌放射治疗的住院患者按入院时间段分为对照组55例、观察组60例。对照组行常规放射性肠炎护理管理;观察组优化护理管理流程,包括增设放射性肠炎管理小组、增加放射性肠炎风险评估及实施保护性预防措施、调整放疗期间评估频次、增加健康教育内容及效果评估等。放疗结束后2个月评价效果。结果观察组放射性肠炎发生率及严重程度显著低于对照组,生活质量总分显著优于对照组(均P<0.05)。结论对前列腺癌放疗患者进行针对性护理管理改进,有效减轻了患者不良治疗体验,有助于患者顺利完成放疗。Objective To reduce the negative treatment experience of prostate cancer patients undergoing radiotherapy.Methods A total of 115 patients were divided into a control group of 55 and an observation group of 60 according to the admission time.The control group were given routine nursing management of radiation enteritis(RE),while the observation group received optimized management of RE,including building a RE management team,increasing risk assessment for RE,implementing preventive mea-sures,adjusting assessment frequency during radiotherapy,adding education contents,and increasing effect evaluation.The effect was evaluated 2 months after radiotherapy.Results The incidence and severity of RE were significantly lower,whereas quality of life was significantly better in the observation group than those in the control group(all P<0.05).Conclusion The optimized ma-nagement of RE can effectively reduce the negative treatment experience of patients and help them successfully complete the therapy.

关 键 词：前列腺癌 放射治疗 放射性肠炎 护理管理 措施优化 

分 类 号：R473.73[医药卫生—护理学]