优质护理干预对降低鼻咽癌患者调强放疗后口腔黏膜反应的影响

Effect of high quality nursing intervention on reducing oral mucosal response in patients with nasopharyngeal carcinoma after intensity modulated radiation therapy

目的:观察优质护理干预对降低鼻咽癌患者调强放疗后口腔黏膜反应的影响。方法:选取2015年3月~2017年6月我院行调强放疗的鼻咽癌患者60例为研究对象,采用随机数字表法将其等分为观察组与对照组,对照组在放疗期间行传统放疗,观察组在此基础上给予优质护理干预,对比两组临床疗效及护理干预前后口腔黏膜反应程度;应用恶性肿瘤特异性生命质量测定量表、疼痛数字评分法、自我护理能力量表评价两组生活质量、疼痛度、自我护理能力。结果:给予优质护理干预后,观察组临床治疗效果高于对照组(P<0.05);口腔黏膜反应程度低于对照组(P<0.05);恶性肿瘤特异性生命质量评分、自我护理能力评分均高于对照组(P<0.05),而疼痛评分较对照组显著降低(P<0.05)。结论:优质护理干预有利于降低鼻咽癌患者调强放疗后口腔黏膜反应及疼痛度,明显提高其生活质量及自我护理能力,值得在临床推广应用。

Objective： To observe the effect of high quality nursing intervention on reducing oral mucosal response in patients with nasopharyngeal carcinoma after intensity modulated radiation therapy（ IMRT）. Methods： To select 60 patients with nasopharyngeal carcinoma who received IMRT in our hospital from March 2015 to March 2017. They were divided into observation group and control group by random number table. The malignant tumor specific quality of life scale,numerical rating scale,and self-care ability scale were used to evaluate the quality of life,pain and self-care ability of the two groups. Results：After giving the high quality nursing intervention,the effect of clinical treatment in the observation group was higher than that in the control group（ P 〈 0.05）. The degree of oral mucosa reaction was lower than that of control group（ P 〈 0. 05）. The scores of malignant tumor specific quality of life scale and self-care ability were higher than those of control group（ P 〈 0. 05）,but the scores of NRS were significantly lower than those of control group（ P 〈 0. 05）.Conclusion： High quality nursing intervention could reduce the oral mucosa reaction and pain of nasopharyngeal carcinoma patients after IMRT,improve their quality of life and self-care ability,and it was worthy of clinical application.