鼻咽癌患者放疗常见并发症的预防及护理干预观察

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摘要目的研究鼻咽癌放疗常见并发症的预防及护理干预效果。方法选择我院2015年1月～2017年1月鼻咽癌放疗患者90例，随机分为研究组和对照组各45例。对照组采用常规的护理干预，研究组采用预防性护理干预方法。比较两组患者护理干预满意度、护理前和护理后患者生活质量的差异、鼻咽癌放疗并发症发生率。结果研究组患者护理干预满意度为93.33%，明显高于对照组（82.22%），两组比较差异有统计学意义（P＜0.05）；护理前两组生活质量比较无显著差异（P＞0.05）；护理后研究组生活质量高于对照组，差异有统计学意义（P＜0.05）；鼻咽癌放疗并发症方面：研究组放射性皮炎的发生率（44.44%）低于对照组（66.67%）；研究组患者恶心呕吐的发生率（82.22%）低于对照组（93.33%）；研究组口咽黏膜反应发生率（44.44%）低于对照组（68.89%），两组3种并发症发生率比较差异均有统计学意义（P＜0.05）。结论鼻咽癌放疗常见并发症有恶心呕吐、放射性皮肤反应、口咽黏膜炎等，采用预防性护理方法效果确切，可有效预防并发症的发生，提高患者满意度和生活质量，值得推广和应用。

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	黄春兰
	刘华之
	侯良

关键词 ：鼻咽癌, 放疗常见并发症, 预防, 护理干预

Abstract：ObjectiveTo explore the effect of prevention and nursing intervention on common complications of radiotherapy for nasopharyngeal carcinoma.Methods90 patients with nasopharyngeal carcinoma in our hospital from January 2015 to January 2017 were selected and were randomly divided into the study group and the control group,with 45 patients in each group.The control group was given routine nursing intervention,and the study group was given preventive nursing intervention.The satisfaction degree towards nursing intervention,differences in quality of life before and after the nursing,and the incidence rate of radiotherapy complications of nasopharyngeal carcinoma were compared between two groups.ResultsThe satisfaction rate towards nursing intervention was 93.33%in the study group,which was higher than that in the control group(82.22%),and there was significant difference between the two groups(P<0.05).There was no significant difference in the quality of life between the two groups before nursing(P>0.05);after nursing,the quality of life in the study group was higher than that in the control group,and the difference was statistically significant(P<0.05); in terms of the complications of radiotherapy for nasopharyngeal carcinoma,the incidence rate of radiodermatitis in the study group(44.44%)was lower than that in the control group(66.67%);the incidence rate of nausea and vomiting in the study group(82.22%)was lower than that in the control group(93.33%);the incidence rate of oropharyngeal mucosa reactions in the study group(44.44%)was also lower than that in the control group(68.89%).There were statistically significant differences in the incidence rates of the three types of complications between the two groups(P<0.05).Conclusion The common complications of radiotherapy for nasopharyngeal carcinoma are nausea and vomiting,radioactive skin reaction,oropharyngeal mucositis,etc.Preventive nursing method is effective,which can effectively prevent the occurrence of complications,and improve patients′satisfaction and quality of life,which is worthy of promotion and application.

Key words： Nasopharyngeal carcinoma Common complications of radiotherapy Prevention Nursing intervention

引用本文:

黄春兰;刘华之;侯良. 鼻咽癌患者放疗常见并发症的预防及护理干预观察[J]. 中国当代医药, 2017, 24(11): 177-179.
HUANG Chun-lan;LIU Hua-zhi;HOU Liang. Observation on the prevention and nursing intervention of common complications of radiotherapy in patients with nasopharyngeal carcinoma. 中国当代医药, 2017, 24(11): 177-179.

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http://dangdaiyiyao.com/CN/ 或 http://dangdaiyiyao.com/CN/Y2017/V24/I11/177

[1]	钟文欢.放射治疗皮肤防护剂预防鼻咽癌放射性皮炎的疗效观察及护理[J].全科护理，2010，8（4）：864.
[2]	王一平，刘宜敏，蔡望青，等.鼻咽癌放射治疗后吞咽困难及张口受限的系统康复治疗与疗效分析[J].中华物理医学与康复杂志，2009，31（12）：832-834.
[3]	殷蔚伯，余子豪，徐国镇，等.肿瘤放射治疗学[M].4版.北京：中国协和医科大学出版社，2008：458-459.
[4]	单莉平，陈佩娟.张口锻炼自我管理对鼻咽癌放疗患者并发症的护理效果[J].中国临床研究，2016，29（11）：1579-1580，1583.
[5]	袁燕珊.鼻咽癌放疗并发症的护理[J].内蒙古中医药，2010，29（20）：101.
[6]	吴兆莉.自制护理标识牌在老年鼻咽癌放疗患者中的应用[J].中国老年保健医学，2016，14（5）：110-111.
[7]	石静，郁志龙，孙晓革，等.鼻内镜随访在鼻咽癌放疗后鼻-鼻窦并发症中的应用价值[J].河北医学，2016，22（11）：1842-1844.
[8]	谭丽华，陈智勇.鼻咽癌放疗并发症的预防及护理措施[J].世界临床医学，2016，10（13）：166.
[9]	Hsin CH，Chen TH，Liang KL，et al.Postirradiation otitis media with effusion in nasopharyngeal carcinoma patients treated by intensity-modulated radiotherapy[J].Laryngoscope，2013，123（9）：2148-2153.
[10]	孙爱平，廖金莲，韦榕飒，等.健康教育路径的运用对鼻咽癌放疗病人出院后自我康复依从性的影响[J].护理研究，2017，31（7）：868-870.
[11]	郭凤英.护理干预对鼻咽癌放疗并发症的预防作用[J].中外医疗，2016，35（17）：156-157，179.
[13]	蒋萍萍，孙唯佳.集束化护理策略在鼻咽癌放疗患者急性放射性口腔炎中的应用[J].护理实践与研究，2016，13（1）：140-142.
[15]	林晓玲.综合护理对鼻咽癌放疗患者的自我管理效能感及不良反应的影响[J].全科护理，2016，14（2）：160-162.
[12]	Leung LH，Wong WK，Cheng AC，et al.A new approach to computing normal tissue complication probability of an intensity-modulated radiotherapy treatment with stereotactic radiotherapy boost of nasopharyngeal carcinoma：a case study[J].Med Dosim，2011，36（2）：138-144.
[14]	Luk YS，Shum JS，Sze HC，et al.Predictive factors and radiological features of radiation-induced cranial nerve palsy in patients with nasopharyngeal carcinoma following radical radiotherapy[J].Oral Oncology，2013，49（1）：49-54.