延续护理联合营养干预对鼻咽癌放疗患者依从性、自我护理能力及营养状态的影响

Effects of Continuing Nursing Combined with Nutritional Intervention on Compliance,Self-care Ability and Nutritional Status of Patients with Nasopharyngeal Carcinoma Treated with Radiotherapy

目的:探讨延续护理联合营养干预对鼻咽癌放疗患者依从性、自我护理能力及营养状态的影响。方法:纳入2021年6月—2022年6月蚌埠医学院第一附属医院收治的80例鼻咽癌放疗患者,按随机数字表法均分为传统组和联合组。传统组实施常规护理手段,联合组实施相对应的延续护理联合营养干预,均连续干预3个月。比较两组依从性、自我护理能力测定量表(ESCA)评分及主观整体营养状况评量表(PG-SGA)评分。结果:干预后,联合组依从性各维度评分均明显高于传统组[(88.24±5.76)分vs.(80.39±3.21)分,(92.50±6.28)分vs.(85.74±4.93)分,(93.35±6.88)分vs.(86.47±3.75)分,(91.60±5.87)分vs.(87.29±4.36)分](P<0.05);联合组自我概念、自护责任感、自护技能、健康知识水平评分均明显高于传统组[(31.32±4.20)分vs.(27.52±4.36)分,(30.57±4.19)分vs.(25.14±2.80)分,(39.40±8.23)分vs.(34.16±6.80)分,(43.38±6.75)分vs.(40.41±4.79)分](P<0.05);联合组PG-SGA评分明显低于传统组[(3.28±0.75)分vs.(4.79±1.06)分](P<0.05)。结论:延续护理联合营养干预能够有效提高鼻咽癌放疗患者依从性及自我护理能力,改善机体营养状态。

Objective:To explore the effects of continuing nursing combined with nutritional intervention on compliance,self-care ability and nutritional status of patients with nasopharyngeal carcinoma treated with radiotherapy.Method:A total of 80 patients with nasopharyngeal carcinoma treated with radiotherapy admitted to the First Affiliated Hospital of Bengbu Medical College from June 2021 to June 2022 were enrolled and divided into the traditional group and the combined group by radom number table method.The traditional group was given routine nursing methods,and the combined group was given corresponding continuous nursing combined with nutritional intervention,the intervention lasted for 3 months.The compliance,exercise of self-care agency scale(ESCA)score and patient-generated subjective global assessment(PG-SGA)score were compared between the two groups.Result:After intervention,all dimensions compliance score in the combined group were significantly higher than those in the traditional group[(88.24±5.76)scores vs.(80.39±3.21)scores,(92.50±6.28)scores vs.(85.74±4.93)scores,(93.35±6.88)scores vs.(86.47±3.75)scores,(91.60±5.87)scores vs.(87.29±4.36)scores](P<0.05);the scores of self-concept,self-care responsibility,self-care skills,health knowledge score in the combined group were significantly higher than those in the traditional group[(31.32±4.20)scores vs.(27.52±4.36)scores,(30.57±4.19)scores vs.(25.14±2.80)scores,(39.40±8.23)scores vs.(34.16±6.80)scores,(43.38±6.75)scores vs.(40.41±4.79)scores](P<0.05);the PG-SGA scores in the combined group was significantly lower than that in the traditional group[(3.28±0.75)scores vs.(4.79±1.06)scores](P<0.05).Conclusion:Continuous nursing combined with nutrition intervention could effectively improve the compliance and self-care ability of patients with nasopharyngeal carcinoma treated with radiotherapy and improve the nutritional status of the body.