食管癌放疗后狭窄患者球囊扩张治疗中人性化护理的应用

Application of Humanized Nursing in Balloon Dilation Therapy for Patients With Esophageal Cancer Stenosis After Radiotherapy

目的探讨食管狭窄患者内镜下球囊扩张治疗中人性化护理的应用。方法选取2019年11月—2020年11月医院收治的食管狭窄并行内镜下球囊扩张术患者112例,随机设为研究组(n=56)与对照组(n=56)进行对照试验。对照组应用常规护理,研究组应用人性化护理。观察分析两组患者的口腔黏液血、颈部气肿、食管破裂穿孔等不良反应以及患者的吞咽功能和生活质量。结果研究组口腔黏液血、颈部气肿、食管破裂穿孔等不良反应发生率5.4%,明显低于对照组的25.0%,差异有统计学意义(χ^(2)=8.391,P<0.05);研究组患者的吞咽功能明显优于对照组患者,差异有统计学意义(Z=8.636,P<0.05);研究组患者护理后生活质量明显高于对照组,差异有统计学意义(P<0.05)。结论食管狭窄患者球囊扩张治疗中应用人性化护理效果较好,患者治疗后不良反应发生几率降低,且能提高患者的吞咽功能及患者的生活质量,可推广使用。

Objective To explore the effect of humanized nursing in endoscopic balloon dilation therapy on the prognosis of patients with esophageal stenosis.Methods A total of 112 patients with esophageal stenosis and endoscopic balloon dilatation were selected from November 2019 to November 2020 in our hospital,and they were randomly selected as the study group(n=56)and the control group(n=56)for comparison test.The control group was used conventional nursing,and the study group was used humanized nursing.The adverse reactions such as oral mucus blood,neck emphysema,esophagus rupture and perforation,the swallowing function and quality of life of the patients were observed and analyzed.Results The incidence of adverse reactions such as oral mucus blood,neck emphysema,esophageal rupture and perforation in the study group was 5.4%,which was significantly lower than 25.0%in the control group,and the difference was statistically significant(χ^(2)=8.391,P<0.05).The swallowing function of the patients in the control group was significantly better than that of the patients in the control group,and the difference was statistically significant(Z=8.636,P<0.05).The quality of life of the patients in the study group after nursing was significantly higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The application of humanistic nursing in the treatment of esophageal stenosis patients with balloon dilatation has a good effect,the incidence of adverse reactions after treatment is reduced,and it can improve the swallowing function and the quality of life of patients,so it can be widely used.