Orem自护理论干预在预防鼻咽癌放化疗患者口腔黏膜炎中的应用效果  

Application effect of Orem self-care theory intervention in preventing oral mucosal inflammation in nasopharyngeal carcinoma patients undergoing radiochemotherapy

作　　者：郭宁宁 邢媛媛[1] 张莉[1] 霍进进 周胜男[1] GUO Ningning;XING Yuanyuan;ZHANG Li;HUO Jinjin;ZHOU Shengnan(Department of Nose,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,He’nan,China)

机构地区：[1]郑州大学第一附属医院鼻科,郑州450000

出　　处：《癌症进展》2023年第16期1807-1810,共4页Oncology Progress

摘　　要：目的探讨Orem自护理论干预在预防鼻咽癌放化疗患者口腔黏膜炎中的应用效果。方法根据干预方法的不同将106例鼻咽癌患者分为对照组(n=53)和观察组(n=53),对照组患者给予常规干预,观察组患者在对照组的基础上给予Orem自护理论干预。比较两组患者的自我护理能力[自我护理能力测定量表(ESCA)]、口腔黏膜炎反应程度、口腔黏膜炎疼痛程度及生活质量[欧洲癌症研究与治疗组织生命质量测定量表(EORTC QLQ-C30)]。结果干预后,两组患者ESCA、EORTC QLQ-C30量表各维度评分均高于本组干预前,观察组患者ESCA、EORTC QLQ-C30量表各维度评分均高于对照组,差异均有统计学意义(P﹤0.05)。观察组患者口腔黏膜炎反应程度和疼痛程度均明显低于对照组,差异有统计学意义(P﹤0.01)。结论鼻咽癌放化疗患者应用Orem自护理论干预,能够降低患者的口腔黏膜炎的反应程度和疼痛程度,增强患者自我护理能力,有助于预防口腔黏膜炎的发生。Objective To explore the application effect of Orem self-care theory intervention in preventing oral mucosal inflammation in nasopharyngeal carcinoma patients undergoing radiochemotherapy.Method A total of 106 patients with nasopharyngeal carcinoma were selected and divided into control group(n=53,received routine intervention)and observation group(n=53,received Orem self-care theory intervention on the basis of the control group)according to different intervention methods.The self-care ability[exercise of self-care agency scale(ESCA)],degree of oral mucosal inflammation reaction,degree of pain in oral mucosal inflammation and quality of life[European Organization for Research and Treatment of Cancer quality of life questionnaire core 30(EORTC QLQ-C30)]were compared between the two groups.Result After the intervention,the scores of ESCA and EORTC QLQ-C30 scales in both groups were higher than those before the intervention,the scores of ESCA and EORTC QLQ-C30 scales in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The degree of oral mucosal inflammation reaction and pain in the observation group was significantly lower than those in the control group,and the differences were statistically significant(P<0.01).Conclusion Orem self-care theory intervention in nasopharyngeal carcinoma patients undergoing radiochemotherapy can reduce the degree of reaction and pain of oral mucosal inflammation,enhance patients’self-care ability,and help prevent the occurrence of oral mucosal inflammation.

关 键 词：鼻咽癌 Orem自护理论干预 口腔黏膜炎 自我护理能力 

分 类 号：R739.6[医药卫生—肿瘤]