综合护理干预在食管癌患者放射性皮肤反应的应用评价

Evaluation on Radiation Skin Reactions of Esophageal Cancer by Comprehensive Nursing Intervention

目的研究综合护理干预在食管癌患者放射性皮肤反应的应用效果。方法选取2017年1—7月放疗科收治的81例50~77岁食管癌放疗患者,随机分为研究组和对照组,对照组进行常规放疗皮肤护理,研究组在其基础上施行有针对性护理措施,对比两组患者RTOG和QLQ-C30及患者满意度评分。结果放疗前两组患者RTOG和QLQ-C30评分差异无统计学意义(P>0.05)。经护理干预,研究组患者严重皮肤反应的发生率低于对照组,QLQ-C30评分及患者满意度高于对照组(P<0.05)。结论对食管癌放疗患者进行有效皮肤护理干预,放射性皮肤反应显著减少,治疗依从性好,提高了生活质量及患者满意度。

Objective To investigate the effect of comprehensive nursing intervention on skin lesions caused by radiotherapy in patients with esophageal cancer. Methods 81 cases of 50 to 77 year old patients with esophageal cancer after radiotherapy from January to July 2017 were randomly divided into the study group and the control group, the control group were given common radiation skin care, the research group were given comprehensive nursing intervention on the basis of the common radiation skin care. The satisfaction score between two groups of patients through RTOG and QLQ-C30 were compared. Results There was no difference between RTOG and QLQ-C30 scores in the two groups before radiotherapy （P 〉 0.05）. After comprehensive nursing intervention, the incidence of severe skin response in the study group was statistically significantly lower than that in the control group. QLQ-C30 score and satisfaction of the study group increased significantly than the control group （P 〈 0.05）. Conclusion Effective comprehensive nursing intervention improves the quality of life and patients’satisfaction in patients with esophageal cancer after radiotherapy, and a significant reduction in the radiation skin reaction, and good treatment adherence.