集束化护理预防鼻咽癌患者放疗后张口困难的效果研究

The effect of bundle care on the prevention of the opening mouth difficulty in nasopharyngeal carcinoma patients after radiotherapy

目的:探讨集束化护理对鼻咽癌放疗后张口困难的预防作用。方法:鼻咽癌放疗患者148例,随机分为观察组75例和对照组73例,2组患者均接受常规护理,观察组同时给予集束化护理干预。分别于放疗前、放疗结束时及放疗后每3个月测量门齿距离,观察张口困难程度至放疗后1年。结果:2组患者在放疗期间即可发生张口困难,2组患者放疗期间及放疗后3个月张口困难程度差异均无统计学意义(P>0.05),观察组放疗后6、9和12个月张口困难程度均明显低于对照组(P<0.01)。结论:集束化护理可有效降低鼻咽癌放疗患者张口困难发生率,减轻张口困难程度。

Objective：To investigate the effects of the bundle care on prevention the mouth opening difficulty in nasopharyngeal carcinoma patients after radiotherapy. Methods：One hundred and forty-eight nasopharyngeal carcinoma patients treated with radiotherapy were randomly divided into the treatment group （ 75 cases ） and control group （ 73 cases ） . Two groups were treated with conventional care, and the treatment group were additionally treated with the bundle care. The incisor distances in all cases were measured before radiotherapy,at the end of radiotherapy and after 3 months of radiotherapy. The difficulty degrees of opening mouth in two groups treated with radiotherapy were observed for 1 year. Results：The opening mouth difficulty in two groups were found during the radiotherapy. The differences of the difficulty in mouth opening between two groups during the period of radiotherapy and after 3 months of radiotherapy were not statistically significant（P 〉 0. 05）. The difficulty degrees in mouth opening in treatment group were significantly lower than that in control group after 6,9 and 12 month of radiotherapy（P〈0. 01）. Conclusions：The bundle care can effectively reduce the incidence and degree of mouth opening difficulty.