中医护理技术结合健康宣教在鼻咽癌放疗患者中的应用观察

The Clinical Application Value of Traditional Chinese Medicine Characteristic Nursing Technology Combined with Health Education in Nursing of Patients with Nasopharyngeal Carcinoma Undergoing Radiotherapy

目的:探讨中医护理技术结合健康宣教在鼻咽癌放疗患者护理中的临床应用价值。方法:选取鼻咽癌放疗患者88例作为研究对象,随机划分为观察组和对照组,每组44例。对照组采取常规护理,观察组在对照组基础上应用中医特色护理技术结合健康宣教进行干预。对比两组健康知识掌握程度、放疗不良反应、生活质量及患者满意度。结果:观察组放疗健康教育知识掌握率高于对照组(P<0.05);观察组皮肤反应程度与对照组比较,差异无统计学意义(P>0.05),但口腔黏膜反应、张口受限、体重下降、胃肠道反应Ⅱ~Ⅳ级患者占比低于对照组(P<0.05);两组护理后癌症患者生命质量测定量表(EORTC QLQ-C30)评分均明显高于护理前(P<0.05),且观察组高于对照组(P<0.05)。结论:对鼻咽癌放疗患者实施中医特色护理技术结合健康宣教,可明显提高患者健康知识掌握程度,有效减轻患者放疗不良反应,显著改善患者生活质量。

Objective： To explore the clinical application value of traditional Chinese medicine characteristic nursing technology combined with health education in nursing of patients with nasopharyngeal carcinoma under- going radiotherapy. Methods： A total of 88 patients with nasopharyngeal carcinoma underwent radiotherapy were selected as the research subjects and randomly divided into the observation group and the control group, with 44 cases in each group. The control group received routine nursing, while the observation group was intervened by the combination of TCM characteristic nursing technology and health education on the basis of the control group. The health knowledge mastery degree, radiotherapy adverse reactions, quality of life and patient satisfac- tion were compared between the two groups. Results： The mastery rate of health education knowledge in the ob- servation group was higher than that in the control group （P〈0.05）; there was no significant difference in the de- gree of skin reaction between the observation group and the control group （P〉0.05）, but the oral mucosa reaction, the restriction of mouth opening, the weight loss, and the gastrointestinal reaction II-IV grades in the observa- tion group were lower than those in the control group （P〈0.05）; the score of EORTC QLQ-C30 of cancer pa- tients after nursing was significantly higher than that before nursing （P〈0.05）, and the observation group was higher than the control group （P〈0.05）. Conclusion： The combination of traditional Chinese medicine characteristic nursing technology and health education for patients with nasopharyngeal carcinoma can obviously improve the degree of health knowledge, reduce the adverse reaction of radiotherapy, improve the quality of life and improve the satisfaction of nursing work greatly.