鼻咽癌放射治疗患者延续性护理需求的调查研究

Study on the extended nursing needs of nasopharyngeal carcinoma patients undergo-ing radiotherapy

目的：探讨鼻咽癌放射治疗患者对延续性护理的需求。方法采用“鼻咽癌放疗患者延续性护理需求问卷”调查80例鼻咽癌放疗患者对延续性护理内容和随访方式的需求。结果在专科护理方面患者对口腔黏膜炎的护理需求（含非常需要、需要）最高，达92.5%；在心理家庭社会方面患者对家庭支持的需求达85.0%；在健康教育方面对饮食指导需求达75.0%。电话随访是患者认为最能接受的实施方式，占51.2%；其次是家庭访视占28.8%。结论患者对延续性护理服务的需求强烈，应注重专科护理的指导，给予心理家庭社会方面的支持，提供具有针对性的护理延伸服务，提高患者的生活质量。

Objective To explore the extended nursing needs of nasopharyngeal carcinoma patients undergoing radiotherapy. Methods A total of 80 patients with nasopharyngeal carcinoma receiving radiotherapy were investigated by the Questionnaire of the Extended Nursing Needs of Nasopharyngeal Carcinoma Patients in terms of the contents of con-tinuous nursing and the way for the follow-up visits. Results For the professional nursing, needs for oral mucositis nursing comes first （ including badly needed, needed ） , accounting for 92. 5%; Among the needs for psychology, family and society, needs for family accounted for 85. 0%; In terms of the needs for health education, needs for the guidance for diet accounted for 75. 0%. The follow-up visit by telephone was considered the most acceptable way by the patients, accounting for 51. 2%, while home follow-up visit accounted for 28. 8%. Conclusion Continuous nursing service is strongly demanded by patients. The guidance for the professional nursing should be paied much attention and supports from the psychology, family and society should be provided. And targeted continuous nursing services should be offered so as to improve the life quality of patients.