综合护理干预对减少老年鼻咽癌患者放疗后并发症的效果

An analysis of Comprehensive nursing intervention for reducing complications in elderly patients with nasopharyngeal carcinoma

目的观察综合护理干预是否能够降低老年鼻咽癌患者放射治疗后并发症发生率。方法以本院2009年5月~2014年1月在本院接受放射治疗的老年鼻咽癌患者122例,简单随机抽样后分入观察组和对照组,观察组患者给予综合护理干预,对照组给予常规放疗后护理干预,观察两组患者术后3个月的并发症发生情况。结果观察组患者放射性皮炎、放射性张口困难、放射性口腔黏膜损伤的发生率明显低于对照组（χ2=35.778,P〈0.001;χ2=5.002,P=0.025,P〈0.05;χ2=14.817,P〈0.001）。结论通过系统的综合护理干预,能够有效降低老年患者放疗术后并发症的发生概率,保证治疗效果,改善患者预后,具有一定的临床推广价值。

Objectives To investigate whether the comprehensive nursing intervention can reduce the incidence of elderly pa-tients with nasopharyngeal carcinoma after radiotherapy complications.Methods We chose 122 elderly nasopharyngeal carcinoma patients in our hospital from May 2009 to January 2014 who received radiation therapy, after a simple random sampling, they were divided into observation group and control group, the observation group were given comprehensive nursing intervention, meanwhile the control group received conventional intervention, then observed the occurrence of complications after three months.Results The patients radiation dermatitis, radiation trismus, the incidence of radiation injury in the oral mucosa was significantly lower than the control group （χ2 =35.778, P〈0.001;χ2 =5.002, P=0.025,P 〈0.05;χ2 =14.817, P〈0.001）.Conclusions By using sys-tematic comprehensive nursing intervention, the occurrence of postoperative complications after radiotherapy was effectively reduced on elderly patients, it could significantly ensure treatment and improve the prognosis, which had a certain clinical value.