晚期宫颈癌患者放射治疗中健康宣教指导方法

Health education instruction of radiation therapy in patients with advanced cervical cancer

目的:探讨晚期宫颈癌患者放射治疗中的护理干预方法。方法:回顾性分析全疗程放疗的宫颈癌患者206例病例资料,采用盆腔外照射及腔内后装放射治疗相结合的治疗方法。针对患者在治疗中出现的不良反应给予相应的护理干预方法,并观察其对患者的影响。结果:206例患者中有40例(占19.4%)出现骨髓抑制,34例(占16.5%)出现胃肠道反应,15例(占7.3%)出现皮肤及阴道炎症反应,10例(占4.7%)出现泌尿系统反应。经过规范化的护理干预后无1例出现严重并发症。结论:经过科学合理的护理干预方法,能够降低宫颈癌患者在放射治疗中的不良反应。

Objective：To investigate the nursing methods in radiotherapy in advanced cervical cancer. Methods： Two hundred and nine cervical cancer were retrospectively selected in the department of Radiotherapy in Beijing Obstetrics and Gynecology Hospital, Capital Medical University from June 2009 to December 2012, of which 150 cases of stage IIb, IIIa of 30 cases, IIIb 26 cases. All the patients were treated with external beam pelvic radiotherapy and intracavitary after loading combined. Total radiation dose is about 75-80Gy. The corresponding nursing methods were given according to the different side-reaction. The effect of the nursing methods was observed in the radiotherapy patients. Results：Among 40 cases （19.4%） underwent bone marrow suppression, 34 cases （16.5%） had gastrointestinal reactions, 15 cases （7.3%） had skin and vaginal inflammation, 10 cases （4.7%） of urinary system response. After standardization nursing, none of the patients died for serious complications. Conclusion：After proper methods of care can reduce the side effects of radiotherapy in patients with cervical cancer.