护理干预对食管癌患者急性放疗反应的影响

The influence of nursing intervention on patients with esophageal carcinoma acute radiotherapy reaction

目的:探讨护理干预对食管癌放疗患者发生急性放疗反应的影响。方法:将食管癌行首次根治性放疗患者80例随机分成观察组和对照组各40例,对照组接受常规护理,观察组由护理干预小组在放疗开始后3个月内通过护理评估、健康教育、随访等进行护理干预,比较两组患者治疗依从性及放射性食管炎、放射性肺炎的发生率。结果:观察组放射性食管炎的发生率低于对照组(P<0.05),放射性肺炎发生率比较无统计学意义(P>0.05);治疗依从性高于对照组(P<0.05)。结论:对食管癌放疗患者给予护理干预可增加患者治疗的依从性,减少急性放疗性食管炎的发生率,提高患者放疗的安全性。

Objective： To explore the influence of nursing intervention on patients with esophageal carcinoma acute radiotherapy reaction. Methods： 80 pa- tients with first radical radiotherapy of esophageal cancer were randomly divided into experimental group and control group, 40 cases in each group, while the control group received routine nursing and the experimental group received nursing intervention through nursing assessment, health education, followup by nursing intervention for 3 months after the initiation of radiotherapy. Results： The comparison of two groups of radiation esophagitis incidence rate had statistical significance （ P 〈 0.05 ）. There had no statistical significance （ P 〉 0.05 ） in the comparison of radiation pneumonia incidence rate. And the comparison of treatment compliance had statistical significance （P 〈 0.05）. Conclusion： Nursing intervention on patients with radiotherapy of esophageal carcinoma can increase patient＇s treatment compliance, reduce the incidence rate of radiation esophagitis, and improve the safety of radiotherapy.