系统性康复干预在鼻咽癌放疗后吞咽困难护理中的应用效果

Application of the effect of systemic rehabilitation intervention in care of dysphagia after radiotherapy for nasopharyngeal carcinoma

目的:分析鼻咽癌患者放疗后采用系统性康复干预对吞咽困难症状的缓解效果。方法:选取2018年1月-2019年6月接受放疗治疗的鼻咽癌患者70例,随机分为两组,各35例。对照组给予常规护理;观察组给予系统性康复干预。比较两组护理效果。结果:观察组患者张口受限Ⅰ级例数明显多于对照组,Ⅲ级、Ⅳ级病例数明显少于对照组,差异有统计学意义(P<0.05)。观察组自我效能评分显著高于对照组,差异有统计学意义(P<0.05)。结论:对鼻咽癌放疗患者实施系统性康复干预,能够有效改善吞咽困难症状,减轻患者痛苦。

Objective:To analyze the mitigation effect of systemic rehabilitation intervention on patients with dysphagia after radiotherapy for nasopharyngeal carcinoma.Methods:From January 2018 to June 2019,70 patients with nasopharyngeal carcinoma who received radiotherapy were enrolled,they were randomly divided into two groups with 35 cases in each group.The control group was given routine care;The observation group was given systemic rehabilitation intervention.The nursing effects of the two groups was compared.Results:The number of patients with gradeⅠof open mouth restriction in the observation group was significantly higher than in the control group and the number of patients with gradeⅢandⅣwas significantly lower than in the control group,the differences were statistically significant(P<0.05).The self-efficacy score of the observation group was significantly higher than the control group,the difference was statistically significant(P<0.05).Conclusion:The systematic rehabilitation intervention of patients with nasopharyngeal carcinoma who received radiotherapy can effectively improve the symptoms of dysphagia and alleviate the suffering of patients.