量化饮水与尿量及膀胱充盈训练在宫颈癌患者放疗中的效果  

Effect analysis of quantitative drinking water,urine volume and bladder filling training in radiotherapy for patients with cervical cancer

作　　者：王颖 赵树宙 尤金强 王伟 Wang Ying;Zhao Shuzhou;You Jinqiang;Wang Wei(Tianjin Medical University Cancer Institute and Hospital,National Cancer Clinical Medical Research Center,Cancer Clinical Medical Research Center of Tianjin,Key Laboratory of Cancer Prevention and Treatment of Tianjin,300060,China)

机构地区：[1]天津医科大学肿瘤医院、国家恶性肿瘤临床医学研究中心、天津市恶性肿瘤临床医学研究中心、天津市肿瘤防治重点实验室,300060

出　　处：《国际护理学杂志》2023年第10期1849-1853,共5页international journal of nursing

基　　金：国家自然科学基金面上项目(81872472);天津市医学重点学科(专科)建设项目(TJYXZDXK-011A)。

摘　　要：目的:探讨在调强放疗过程中对宫颈癌患者采用量化饮水与尿量及针对性膀胱充盈训练的临床应用效果。方法:抽取2020年6月至2021年6月天津医科大学肿瘤医院放疗科122例行宫颈癌调强放射治疗的患者,随机分为观察组和对照组各61例,对照组给予常规膀胱充盈训练,观察组给予量化饮水与尿量及针对性膀胱充盈训练。比较两组强化CT定位扫描前、模拟机复位前、放疗前的饮水量、膀胱充盈时间、膀胱充盈稳定性及放射性肠炎发生率。结果:强化CT定位前、模拟机复位前及放疗前,观察组的饮水量、膀胱充盈时间及膀胱充盈稳定性优于对照组,差异有统计学意义(P<0.05),放射性肠炎发生率显著低于对照组(P<0.05)。结论:采用量化饮水与尿量及针对性膀胱充盈训练护理干预,可明显改善宫颈癌患者在放疗中对膀胱充盈稳定性的理解和认知,显著提高调强放疗过程中膀胱充盈量的稳定性,从而保证精准照射的实施及放疗安全。Objective To explore the clinical effect of quantitative drinking water and urine volume and targeted bladder filling training for patients with cervical cancer during intensity modulated radiotherapy.Methods A total of 122 patients receiving intensity modulation radiotherapy for cervical cancer in the Radiotherapy Department of Tianjin Medical University Cancer Hospital from June 2020 to June 2021 were selected and randomly divided into observation group and control group,with 61 patients in each group.The control group was given routine bladder filling training,while the observation group was given quantified water and urine volume and targeted bladder filling training.The water intake,bladder filling time,bladder filling stability and incidence of radiation enteritis were compared between the two groups before enhanced CT localization scanning,before simulator reset and before radiotherapy.Results Before enhanced CT localization,simulator reset and radiotherapy,the water intake,bladder filling time and bladder filling stability of the observation group were better than those of the control group,and the differences were statistically significant(P<0.05).The incidence of radiation enteritis was significantly lower than the control group(P<0.05).Conclusions Nursing intervention of quantified drinking water and urine volume and targeted bladder filling training can significantly improve the understanding and cognition of bladder filling stability in patients with cervical cancer during radiotherapy,and significantly improve the consistency of bladder filling volume during intensity modulated radiotherapy,so as to ensure the implementation of precise irradiation and radiotherapy safety.

关 键 词：护理干预 调强放疗 膀胱充盈训练 膀胱充盈量 

分 类 号：R473.73[医药卫生—护理学]