集束化护理策略在鼻咽癌放疗后吞咽困难中的应用效果及对MUIS评分的影响

Application effect of cluster nursing strategy in dysphagia after radiotherapy for nasopharyngeal carcinoma and its'influence on MUIS score

目的探究集束化护理策略在鼻咽癌放疗后吞咽困难中的应用效果,并分析患者的Mishel疾病不确定感量表(MUIS)评分情况。方法依据单双号将92例鼻咽癌放疗患者随机分为对照组(常规护理)和试验组(集束化护理策略),各46例。比较两组的吞咽功能、张口困难情况、MUIS评分及护理满意度。结果放疗后3个月,试验组的吞咽障碍及张口困难发生率明显低于对照组及放疗期间(P<0.05)。放疗期间及放疗后3个月,试验组的MUIS各维度评分及总分均低于对照组(P<0.05)。试验组的护理满意度显著高于对照组(P<0.05)。结论集束化护理策略应用于鼻咽癌放疗患者,能够显著改善患者的吞咽障碍及张口困难症状,降低其疾病不确定感,提升护理满意度。

Objective To explore the application effect cluster nursing strategy in dysphagia after radiotherapy for nasopharyngeal carcinoma,and analyze the score of Mishel uncertainty in illness scale(MUIS)of patients.Methods Ninety-two patients with nasopharyngeal carcinoma treated with radiotherapy were randomly divided into control group(routine nursing)and experimental group(cluster nursing strategy)according to odd and even numbers,with 46 cases in each group.The swallowing function,difficulty in opening mouth,MUIS score and nursing satisfaction were compared between the two groups.Results At 3 months after radiotherapy,the incidences of dysphagia and difficulty in opening mouth in the experimental group were significantly lower than those in the control group and during radiotherapy(P<0.05).During radiotherapy and at 3 months after radiotherapy,the scores of all dimensions and total score of MUIS in the experimental group were lower than those in the control group(P<0.05).The nursing satisfaction of the experimental group was significantly higher than that of the control group(P<0.05).Conclusion Cluster nursing strategy for patients with nasopharyngeal carcinoma after radiotherapy can significantly improve the symptoms of dysphagia and difficulty in opening mouth,reduce sense of disease uncertainty,and improve nursing satisfaction.