细节化护理干预在鼻咽癌患者放射治疗期间中的应用

Application of detailed nursing interventions for patients with nasopharyngeal carcinoma during radiotherapy

目的探讨细节化护理干预措施在鼻咽癌患者放射治疗期间的应用效果。方法选取2016年5月至2017年5月我院收治的鼻咽癌患者72例为研究对象,随机将其等分为对照组和观察组。对照组采用常规护理措施,观察组采用细节化护理干预措施,对比分析两组患者放射治疗期间的副反应情况、血常规指标变化及心理状态变化。结果观察组患者放射治疗期间的副反应情况、SAS评分和SDS评分明显低于对照组,WBC计数和PLT计数明显高于对照组,差异有统计学意义(P <0. 05)。结论细节化护理干预措施用于鼻咽癌患者放射治疗期间的护理效果明显,可显著降低患者放射治疗期间的副反应情况发生率,较好改善患者的焦虑和抑郁症状,有效促进患者血常规指标恢复到正常水平,值得临床广泛推广。

Objective To explore the application effect of detailed nursing interventions for patients with nasopharyngeal carcinoma during radiotherapy. Methods To compare and analyze the status of side effects, changes in blood routine parameters and that of mental status during radiotherapy, 72 cases of patients with nasopharyngeal carcinoma admitted to hospital from May 2016 to May 2017 were observed, and randomly divided into control group andstudy group with equal members. The control group adopted routine nursing intervention, while the study group adopted detailed nursing intervention. Results The side effect status, scores of SAS and scores of SDS during radiotherapy in the study group were apparently lower than those in the control group,the WBC counts and PLT counts were obviously higher than the control group, and the difference was statistically significant（P 〈 0. 05）. Conclusion The application of detailed nursing intervention on nasopharyngeal carcinoma during radiotherapy proved to have remarkable therapeutic effect, which could effectively reduce the incidence of side effect during the radiotherapy, ideally ease patients’ anxiety and depression syndrome, and help to turn the blood routine parameters of patients’ to normal level, it’s worth clinical popularization.