系统化护理干预对鼻咽癌放化疗患者胃肠道反应及睡眠质量的影响

目的:观察和分析系统化护理干预对鼻咽癌放化疗患者胃肠道反应及睡眠质量的影响。方法:48例随机分为对照组和观察组各24例。两组均行常规护理,观察组加系统化护理干预。分别于护理前、护理后6个月对两组患者放化疗期间的胃肠道反应及睡眠质量进行比较分析。结果:放化疗期间对照组Ⅲ度胃肠道反应3例(12.5%),0度和Ⅰ度胃肠道反应12例(50%),观察组Ⅲ度胃肠道反应1例(4.2%)、0度和Ⅰ度胃肠道反应20例(83.3%),两组比较差异有统计学意义(P<0.05)。护理干预前两组各项睡眠质量指标及PQSI总分比较差异无统计学意义(P>0.05),护理干预后观察组各项指标及PQSI总分显著优于对照组(P<0.05)。结论:鼻咽癌患者放化疗期间行系统化护理干预能缓解胃肠道反应并改善睡眠质量。

Objective ： To observe and analyze the effect of systematic nursing intervention on gastrointestinal reaction and sleep quality of patients with nasopharyngeal carcinoma undergoing radiotherapy and chemotherapy. Method ： 48 cases of nasopharyngeal carcinoma patients were randomly divided into two groups： the control group and the observation group. Both groups received routine nursing and the observation group were treated with systematic nursing intervention additionally. The gastrointestinal reaction and sleep quality of the two groups were compared and analyzed at the time point of 6 months before nursing and 6 months after nursing respectively. Result： During radiotherapy and chemotherapy, there were 3 cases with III degree of gastrointestinal single reaction, accounting for 12.5% and 12 cases with 0 degree and Ⅰ degree of gastrointestinal tract reaction patients, accounted for 50% in the control group while there were 1 case with Ⅲ degree of gastrointestinal single reaction, accounting for 4.2% and 20 cases with 0 degree and Ⅰ degree of gastrointestinal tract reaction, accounted for 83.3% in the observation group. The observation group was significantly superior to the control group （ P〈0.05 ） and the difference was statistically significant. There was no significant difference in each sleep quality index and PQSI total score between the two groups before the nursing intervention （ P〉0.05 ） . Each sleep quality index and PQSI total score of the observation group was superior to that of the control group significantly after the nursing intervention （P〈0.05） .Conclusion： The systematic nursing intervention could effectively relieve gastrointestinal reaction and improve sleep quality in patients with nasopharyngeal carcinoma during radiotherapy and chemotherapy, which is worthy of popularization and application.