食管癌患者同步放化疗的临床观察及护理

Clinical observation and nursing of concurrent chemotherapy and radiotherapy in patients with esophageal cancer

目的：探讨食管癌患者同步放化疗期间的护理方法及效果。方法选取60例均放化疗的食管癌患者为研究对象，按照护理方法的不同分为观察组和对照组各30例，对照组采用常规护理，观察组成立责任护理小组进行护理，比较两组患者的治疗效果、状态、生活质量及护理满意度。结果观察组的疗效高于对照组，毒副反应程度轻于对照组，疲乏程度轻于对照组，焦虑和抑郁评分显著低于对照组，差异有统计学意义（ P＜0.05）；观察组在躯体功能、角色功能、社会功能等方面的生活质量高于对照组，护理满意度高于对照组，差异有统计学意义（ P＜0.05）。结论食管癌同步放化疗毒副反应发生率高，责任护理能够降低治疗的毒副反应，改善生活质量。

Objective To explore the nursing methods and effects of concurrent chemotherapy and radiotherapy in patients with esophageal cancer.Methods A total of 60 cases of concurrent chemotherapy and radiotherapy patients with esophageal cancer were divided into the observation group and the control group according to different nursing methods, the control group was received routine nursing care, the observation group was established the responsibility nursing team for care, treatment effect, status, life quality and nursing satisfaction were compared between two groups.Results The curative effect in the observation group was higher than that in the control group, toxicity reaction degree and fatigue were lighter than those in the control group, anxiety and depression scores were significantly lower than those in the control group, with statistical significance （ P〈0.05） .Life quality in physical function, role function, social function in the observation group were higher than those in the control group, nursing satisfaction was higher than that in the control group, with statistical significance （ P〈0.05） .Conclusions Occurrence of concurrent chemotherapy and radiotherapy patients with esophageal cancer is high, responsibility nursing can reduce the adverse reaction of treatment, improve the life quality.