基于PANDA模式的护理干预对头颈部肿瘤放疗患者皮损程度及美学效果的影响

The Impact of Nursing Intervention Based on PANDA Model on the Degree of Skin Iesions and Aesthetic Effects in Patients with Head and Neck Tumor Radiotherapy

目的探讨基于PANDA模式的护理干预对头颈部肿瘤放疗患者皮损程度及美学效果的影响。方法选取2021年9月至2023年12月在南阳市中心医院接受放射性治疗的126例头颈部肿瘤患者为研究对象,按护理方式不同分为观察组和对照组,每组63例。对照组实施放射常规护理,观察组实施基于PANDA模式的护理;比较两组患者放射性皮损分级、放射性皮炎反应评估量表得分、皮损创面愈合时间和美学效果。结果经相应护理干预后,观察组患者放射性皮损分级明显低于对照组,组间比较差异具有统计学意义(Z=3.768,P=0.003)。观察组患者放疗各阶段放射性皮炎反应评估量表得分明显低于对照组,皮损创面愈合时间明显短于对照组,创面愈合百分比明显高于对照组,组间比较差异均具有统计学意义(P<0.05)。观察组患者皮肤永久性红斑、色素沉着、皮肤色泽融合、瘢痕形成等美学评分均优于对照组,组间比较差异具有统计学意义(P<0.05)。结论基于PANDA模式的护理干预能够明显减轻头颈部肿瘤放疗患者皮损程度和放射性皮炎反应,促进皮损创面愈合,提升创面美学效果,值得临床推广应用。

Objective Exploring the impact of PANDA based nursing interventions on the degree of skin lesions and aesthetic effects in patients with head and neck tumor radiotherapy.Methods Conveniently select 126 patients with head and neck tumors who received radiation therapy in Nanyang Central Hospital from September 2021 to December 2023 as the research subjects,and randomly divide them into an observation group and a control group,with 63 cases in each group.The control group received routine radiation care,while the observation group received care based on the PANDA model;Compare the grading of radiation-induced skin lesions,scores on the radiation-induced dermatitis response assessment scale,healing time of skin lesions,and aesthetic effects between two groups of patients.Results After corresponding nursing interventions,the grading of radiation skin lesions in the observation group fifiwas significantly lower than that in the control group,and the difference between the groups was statistically significant(Z=3.768,P fi=0.003).The observation group had significantly lower scores on the radiation dermatitis response assessment scale at each stage of firadiotherapy compared to the control group.The healing time of skin lesions was significantly shorter than that of the control group,fiand the percentage of wound healing was significantly higher than that of the control group.The differences between the groups were fistatistically significant(P<0.05).The aesthetic scores of permanent erythema,pigmentation,skin color fusion,and scar formation in fithe observation group were better than those in the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion fiThe nursing intervention based on PANDA model can significantly reduce the degree of skin damage and radiation dermatitis reaction in patients with head and neck tumor radiotherapy,promote skin wound healing,and improve the aesthetic effect of the wound,which is worthy of clinical promotion and application.