标准化皮肤护理干预对乳腺癌放疗后皮肤损害修复的影响

Effect of standardized skin care intervention on skin damage repair after breast cancer radiotherapy

目的将标准化皮肤干预用于乳腺癌放疗后皮肤损害患者中,评价其对修复患者皮肤损害的影响。方法对2015年1月~2017年3月我院收治的198例乳腺癌放疗患者分组研究,B组行常规护理干预,A组行标准化皮肤护理,对两组护理结果进行评价。结果 A组患者护理后皮肤损害程度多分布在0~1级,B组多为2~3级,A组护理后皮肤损害程度与B组相比,差异有统计学意义(P<0.05);两组护理前生存质量评分差异不明显(P>0.05),A组护理后生存质量评分与B组相比,差异有统计学意义(P<0.05);A组护理满意度为92.93%,与B组81.82%相比,差异有统计学意义(P<0.05)。结论标准化皮肤护理干预用于乳腺癌放疗患者中效果显著,可减轻患者放疗后皮肤损害程度,提升生存质量,值得临床应用。

Objective To apply the standardized skin intervention in the patients with skin damage after breast cancerradiotherapy, and to evaluate its effect on the repair of skin damage. Methods 198 patients undergoing breast cancerradiotherapy who were admitted to our hospital from January 2015 to March 2017 were assigned to groups for study.Group B was given routine nursing intervention, and group A was given standardized skin nursing care. The nursingresults were evaluated for both groups. Results The degree of skin damage after nursing in group A was mostly distributed in grades 0~1, and group B was mostly in grades 2~3. The degree of skin damage after nursing in group A wascompared with that in group B, and the difference was statistically significant（P〈0.05）; there was no significant differencein the quality of life scores before nursing between the two groups（P〉0.05）. The quality of life scores in group A afternursing were compared with that in group B, and the difference was statistically significant（P〈0.05）; the satisfactiondegree in group A was 92.93%, and compared with that of 81.82% in the control group, the difference was statisticallysignificant（P〈0.05）. Conclusion Standardized skin care intervention has a significant effect in the patients receivingbreast cancer radiotherapy, which can reduce the degree of skin damage after radiotherapy and improve the quality oflife. It is worthy of clinical application.