摘要
目的 分析鼻咽癌放疗采取全方位护理对致口腔黏膜反应的影响。方法 选取2017年10月至2021年12月收治的鼻咽癌放疗患者102例,按照住院床号奇数偶数的方式进行分组,其中观察组的51例患者为床号偶数者,对照组的51例患者为床号奇数者,对比口腔黏膜反应发生情况、生存质量评分以及满意度评分。结果 ①口腔黏膜反应。观察组0级和Ⅰ级发生率高于对照组(P<0.05),但Ⅱ级、Ⅲ级、Ⅳ级发生率低于对照组(P<0.05);②生存质量。观察组生存质量评分高于对照组(P<0.05);③患者满意度。观察组患者满意度评分高于对照组(P<0.05)。结论 通过对鼻咽癌放疗患者实施全方位护理可有效改善口腔黏膜反应的发生程度,同时提升生存质量。
关键词: 口腔黏膜反应;全方位护理;生存质量;鼻咽癌;满意度;常规护理;放疗
Abstract
Objective to analyze the effect of comprehensive nursing on oral mucosa reaction caused by radiotherapy of nasopharyngeal carcinoma. Methods 102 patients with nasopharyngeal carcinoma treated by radiotherapy from October 2017 to December 2021 were selected and divided into groups according to the odd and even number of inpatient beds. Among them, 51 patients in the observation group were even number of beds and 51 patients in the control group were odd number of beds. The incidence of oral mucosal reaction, quality of life score and satisfaction score were compared. Results ① oral mucosal reaction. The incidence of grade 0 and grade I in the observation group was higher than that in the control group (P < 0.05), but the incidence of grade II, III and IV was lower than that in the control group (P < 0.05); ② Quality of life. The quality of life in the observation group was higher than that in the control group (P < 0.05); ③ Patient satisfaction. The satisfaction score of the observation group was higher than that of the control group (P < 0.05). Conclusion comprehensive nursing care for patients with nasopharyngeal carcinoma after radiotherapy can effectively improve the incidence of oral mucosal reaction and improve the quality of life.
Key words: oral mucosal reaction; Comprehensive nursing; Quality of life; Nasopharyngeal carcinoma; Satisfaction; Routine nursing; radiotherapy
参考文献 References
[1] 潘婷. 鼻咽癌患者放疗致口腔黏膜反应采用全方位护理进行干预的效果研究[J]. 东方药膳,2021(3):154-155.
[2] 汤洁,刘学功,黄汉. 全方位护理对鼻咽癌患者放疗致口腔黏膜反应的效果观察及价值分析[J]. 中国保健营养,2019,29(4):27-28.
[3] 蒙慧芳,朱小燕. 全方位护理对鼻咽癌患者放疗后口腔感染的影响[J]. 实用中西医结合临床,2019,19(8):171-172.
[4] 酒恩美,李亦建,杨婷.全方位护理对鼻咽癌患者放疗致口腔黏膜反应的效果分析[J].特别健康,2020(4):213-214.
[5] 王晓玲,武玉涛.全方位护理对鼻咽癌患者放疗致口腔黏膜反应发生率的影响分析[J]. 健康之友,2020(24):244.
[6] 龚利. 全方位护理干预预防鼻咽癌放疗中口腔黏膜反应的效果观察[J]. 医药前沿,2019,9(12):187-188.
[7] 夏轶男,高玉红,王树越. 全方位护理干预对鼻咽癌放疗口腔黏膜反应的影响[J]. 世界最新医学信息文摘(连续型电子期刊),2020,20(79):347-348.
[8] 李小生. 全方位护理对鼻咽癌患者放疗致口腔黏膜反应发生率的影响分析[J]. 健康忠告,2021,15(2):128,131.
[9] 霍雪兰,黄敏清,胡春仪,等. 团队协作模式在预防鼻咽癌患者放射性黏膜炎的作用评价[J]. 国际护理学杂志,2019,38(15):2465-2468.
[10] 林伟娟,卢小丽,龙瑞娟,等. 全方位护理干预对降低鼻咽癌患者调强放疗后口腔黏膜反应的影响[J]. 中国药物与临床,2021,21(1):163-165.