知信行延续护理教育在鼻咽癌患者放化疗后的运用  

Application of Knowledge-attitude-behavior Continuation in Nursing Education for Nasopharyngeal Cancer Patients After Radiotherapy and Chemotherapy

作　　者：吴江[1] 张江 费严焰[1] 刘琴[4] 陈媛娇[2] 王垣晓 代水芬 WU Jiang;ZHANG Jiang;FEI Yanyan;LIU Qin;CHEN Yuanjiao;WANG Yuanxiao;DAI Shuifen(Dept.of Radiotherapy,The 3rd Affiliated Hospital of Kunming Medical University,Kunming Yunnan 650118,China;Dept.of Nuclear Medicine,The 3rd Affiliated Hospital of Kunming Medical University,Kunming Yunnan 650118,China;Dept.of Nursing,The 3rd Affiliated Hospital of Kunming Medical University,Kunming Yunnan 650118,China;Dept.of Stomach and Small Intestine Surgery,The 3rd Affiliated Hospital of Kunming Medical University,Kunming Yunnan 650118,China)

机构地区：[1]昆明医科大学第三附属医院放射治疗科,云南昆明650118 [2]昆明医科大学第三附属医院核医学科,云南昆明650118 [3]昆明医科大学第三附属医院护理部,云南昆明650118 [4]昆明医科大学第三附属医院胃与小肠外科,云南昆明650118

出　　处：《昆明医科大学学报》2024年第10期166-172,共7页Journal of Kunming Medical University

基　　金：云南省教育厅科学研究基金资助项目(2024J0363;2024J0364)。

摘　　要：目的调查鼻咽癌(nasopharyngeal carcinoma,NPC)患者放化疗后实施知信行延续护理教育对营养状况、张口受限和生活质量的影响。方法将云南省昆明医科大学第三附属医院2022年6月至2023年6月收治的放化疗后160例NPC患者随机分为对照组和实验组各80例。对照组实施常规出院延续护理;实验组采用鼻咽癌患者放化疗后知信行延续护理教育。比较2组患者干预前后营养状况、张口受限及生活质量差异。结果实验组患者张口受限程度低于对照组,差异具有统计学意义(P<0.05),营养血液学指标血红蛋白(Hb),白蛋白(ALB),前白蛋白(PA)均高于对照组,差异具有统计学意义(P<0.05)。生活质量(FACT-H&N)中的生理状况、社会/家庭状况、情感状况和功能状况及附加关注评分均高于对照组,差异具有统计学意义(P<0.05)。结论知信行延续护理教育可降低鼻咽癌患者放化疗后张口受限程度,改善其营养状况,提高生活质量。Objective To investigate the impact of continued care education on knowledge,attitude,and behavior after radiochemotherapy in patients with nasopharyngeal carcinoma(NPC)on their nutritional status,limited mouth opening,and quality of life.Methods A total of 160 NPC patients who underwent radiotherapy and chemotherapy at a tertiary hospital in Yunnan Province from June 2022 to June 2023 were randomly divided into a control group and an experimental group,with 80 patients in each group.The control group received standard discharge follow-up care,while the experimental group received follow-up care education based on the knowledge,attitude,and behaviors of nasopharyngeal carcinoma patients after treatment.The nutritional status,mouth opening limitations,and quality of life differences between the two groups were compared before and after the intervention.Results The results show that the experimental group had less restriction in mouth opening compared to the control group,and the difference is statistically significant(P<0.05).Hematological nutritional indicators such as hemoglobin(Hb),albumin(ALB),and prealbumin(PA)were all higher in the experimental group than in the control group,and this difference is also statistically significant(P<0.05).Furthermore,the quality of life(FACTH&N)scores for physical health,social/family health,emotional well-being,and functional status,as well as additional concern scores,were all higher in the experimental group compared to the control group,with statistically significant differences(P<0.05).Conclusion Knowledge-attitude-behavior continuing nursing education can reduce the degree of limitation of mouth opening in NPC patients after radiotherapy and chemotherapy,improve their nutritional status and improve their quality of life.

关 键 词：鼻咽癌 放疗 化疗 知信行 延续护理 教育 

分 类 号：R473.73[医药卫生—护理学]