早期护理干预对鼻咽癌放射性口腔黏膜炎的减轻效果探讨  

Discussion on alleviating effect of early nursing intervention on radioactive oral mucositis of nasopharyngeal carcinoma

作　　者：李建萍[1] Li Jianping(Linqu County People's Hospital Imaging Department,Weifang,Shandong,262600,China)

机构地区：[1]临朐县人民医院,山东潍坊262600

出　　处：《中国医学文摘（耳鼻咽喉科学）》2022年第6期211-213,共3页Chinese Medical Digest(Otorhinolaryngology)

摘　　要：目的讨论早期护理干预对鼻咽癌放射性口腔黏膜炎的减轻效果。方法入选50例接受放疗治疗鼻咽癌患者主要于2020年1月-2021年11月接受病情诊疗,将其随机分为对照组25例与研究组25例。入选患者均实施相同的放疗治疗方案,在此基础上对照组实施常规护理,研究组实施常规护理+早期护理干预,以放射性口腔黏膜炎发生情况、护理前后生活质量作为两组不同护理模式的评价指标。结果两组无0级放射性口腔黏膜炎,研究组Ⅰ级(56%)及Ⅱ级(44%)放射性口腔黏膜炎发生机率明显高于对照组,Ⅲ级(0%)及Ⅳ级(0%)放射性口腔黏膜炎发生机率明显低于对照组,P<0.05。护理前两组患者生活质量无统计学差异,P>0.05;护理后研究组生活质量评分明显高于对照组,P<0.05。结论对接受放疗治疗的鼻咽癌患者实施早期护理干预利于减轻放射性口腔黏膜炎症状,降低此症状发生机率,提高生活质量。Objective To discuss the alleviating effect of early nursing intervention on radioactive oral mucositis of nasopharyngeal carcinoma.Methods Fifty patients who received radiotherapy for nasopharyngeal carcinoma were enrolled and treated from January 2020 to November 2021.They were randomly divided into control group(n=25)and study group(n=25).The enrolled patients were all given the same radiotherapy treatment plan.On this basis,the control group was given routine nursing,and the research group was given routine nursing+early nursing intervention.The occurrence of radioactive oral mucositis and the quality of life before and after nursing were used as evaluation indexes of different nursing modes in the two groups.Results There was no grade 0 radiation oral mucositis in the two groups.The incidence rate of gradeⅰ(56%)andⅱ(44%)radiation oral mucositis in the study group was significantly higher than that in the control group,and the incidence rate of gradeⅲ(0%)andⅳ(0%)radiation oral mucositis was significantly lower than that in the control group,P<0.05.There was no statistical difference in quality of life between the two groups before nursing,P>0.05;The quality of life score of the nursing study group was significantly higher than that of the control group,P<0.05.Conclusion Early nursing intervention for nasopharyngeal carcinoma patients receiving radiotherapy is beneficial to alleviate the inflammation of radioactive oral mucosa,reduce the incidence of this symptom and improve the quality of life.

关 键 词：鼻咽癌 放疗 放射性口腔黏膜炎 早期护理 

分 类 号：R47[医药卫生—护理学]