专科护理门诊延续跟进式赋能教育对鼻咽癌放疗患者康复的影响

Effect of continuing follow-up empowerment education on rehabilitation of outpatients with nasopharyngeal carcinoma radiotherapy

目的:观察专科护理门诊延续跟进式赋能教育对鼻咽癌放疗患者康复的影响。方法:选取2018年1—6月在我院行鼻咽癌放疗患者50例作为对照组,采用常规健康教育方法;选取2018年7—12月在我院行鼻咽癌放疗患者46例作为干预组,在常规健康教育的基础上采用专科护理门诊延续赋能教育模式进行跟进。结果:干预组患者放射性口腔黏膜损伤程度、放射性皮肤损伤程度均明显低于对照组,差异均有统计学意义(P<0.05);干预组患者头颈部功能操锻炼依从性显著高于对照组,差异有统计学意义(P<0.05)。结论:通过开设专科护理门诊给予鼻咽癌门诊放疗患者延续跟进式的赋能教育,能提高鼻咽癌门诊放疗患者主动参与自我管理的能力,降低患者放化疗期间并发症的损伤程度,提高患者头颈部功能操锻炼的依从性,对促进患者康复具有重要影响。

Objective:To explore the effect of continuing follow-up empowerment education on the rehabilitation of outpatients with nasopharyngeal carcinoma radiotherapy.Methods:The outpatients with radiotherapy for nasopharyngeal carcinoma who met the inclusion criteria from January to June 2018 in our hospital were enrolled as the control group(n=50).The routine health education was provided during radiotherapy.The outpatients with nasopharyngeal carcinoma radiotherapy who met the inclusion criteria from July to December 2018 were selected as intervention group(n=46).In the intervention group,on the basis of routine health education,the continued empowered education was performed during follow up clinic visits.Results:The incidence of radiation stomatitis and radiation skin injury in the intervention group was significantly lower than that in the control group(P<0.05).The compliance of functional exercise of head and neck was significantly higher in the intervention group than in the control group(P<0.05).Conclusion:The follow-up empowerment education for patients with nasopharyngeal carcinoma radiotherapy can be effectively improved by setting up a specialist nursing clinic.It can effectively improve the self-efficacy of patients with nasopharyngeal carcinoma radiotherapy and reduce the incidence of complications during radiotherapy,which has an important impact on the rehabilitation of patients.