食管癌患者在放射治疗中不同营养途径的护理管理效应

Nursing Experience in the Radiotherapy of Patients with Esophageal Cancer by Different Nutrition Ways

目的:探讨不同营养途径包括直接经食管与间接经鼻饲、胃造瘘进食的食管癌患者在放射治疗过程中的护理措施和方法对患者的临床效应。方法:回顾性分析我科一年来放射治疗的63例食管鳞状细胞癌患者的临床资料,其中46例患者直接经食管进食,其余17例治疗前行鼻饲或胃造瘘进食,在治疗过程中注重对患者的心理护理、饮食及放疗并发症护理。结果:放疗前行鼻饲或食管造瘘患者在放疗过程中依从性好,放射性食管炎能更好的控制,未发生食管穿孔及食管气管瘘等重大放疗并发症。结论:放疗前行鼻饲或胃造瘘的食管癌患者,周密的观察与细致的护理,主动的护患沟通,会导致积极的临床效应,可减轻放射损伤,降低食管穿孔及食管气管瘘的几率,延长患者生命,提高其生活质量。

Objective： To explore nursing interventions and methods for esophageal cancer patients in accordance with different nutrition ways, including direct through oesophagus, indirect by nasal feeding or gastrostomy intake in their radiotherapies. Methods： The research is on the basis of the author＇s psychological, diet and radiotherapy complications nursing for 63 esophageal squamous cell carcinoma patients, including 46 esophageal intake, 17 nasal feeding or gastrostomy before therapy in their one-year radiotherapies.Results： Patients who have taken nasal feeding or gastrostomy before radiotherapy get better compliance during the process of it, their radiation esophagitis could get a better control, without having any significant radiotherapy complications such as esophageal perforation and tracheoesophageal fistula. Conclusion： Taking nasal feeding or gastrostomy before radiotherapy can reduce radiation damage of the patient with Esophageal Cancer, and cut the odds of esophageal perforation and tracheoesophageal fistula happening, in the meantime prolong patient＇s life and improve his living quality.