Application effect of skin care in promoting skin wound healing and nursing satisfaction of patients with head and neck cancer radiotherapy
皮肤护理在促进头颈部肿瘤放疗患者皮肤创面愈合及护理满意度提升中的应用效果

摘要

本研究探讨皮肤护理干预对头颈部肿瘤放疗患者创面愈合及护理满意度的临床价值。2024年4月 - 2025年4月，纳入本院100例头颈部肿瘤放疗患者，随机均分为观察组（n = 50）与对照组（n = 50）。对照组行常规护理，观察组在常规护理基础上联合皮肤护理方案。比较两组创面愈合时间及愈合率、RTOG分级体系下急性皮肤毒性反应发生率、VAS疼痛强度评分、EORTC QLQ-C30生活质量评分、护理满意度（Likert 5级评分量表）。结果显示，观察组创面愈合时间更短、愈合率更高（P < 0.05），护理满意度显著优于对照组（P < 0.05），RTOG分级皮肤反应更轻，0级比例高且无IV级反应，疼痛评分低、中重度疼痛发生率低，生活质量在生理、情绪、社会功能和总体健康方面均优于对照组（P < 0.05）。表明皮肤护理可加速创面愈合、提高满意度、改善生活质量，有临床推广价值。

Abstract

This study was to explore the clinical value of skin nursing intervention on wound healing and nursing satisfaction of patients with head and neck tumor radiotherapy. From April 2024 to April 2025, 100 patients with head and neck tumor radiotherapy in our hospital were randomly divided into observation group (n=50) and control group (n=50). The control group received routine nursing, while the observation group received skin care on the basis of routine nursing. The wound healing time and healing rate, the incidence of acute skin toxicity under RTOG classification system, VAS pain intensity score, EORTC QLQ-C30 quality of life score, and nursing satisfaction (Likert 5 score scale) were compared between the two groups. The results showed that the wound healing time of the observation group was shorter, the healing rate was higher (P<0.05), the nursing satisfaction was significantly better than that of the control group (P<0.05), the skin reaction of RTOG grade was lighter, the proportion of grade 0 was higher, and there was no grade IV reaction, the pain score was lower, the incidence of moderate and severe pain was lower, and the quality of life was better than that of the control group in physiology, emotion, social function and overall health (P<0.05). It shows that skin care can accelerate wound healing, improve satisfaction, and improve the quality of life, which is worthy of clinical promotion.