CAJ | 학술논문

目的：探讨教育和认知行为干预对减轻放射性皮炎的临床效果。方法选择104例乳腺癌改良根治术后接受放射治疗的患者，随机分为实验组和对照组各52例。实验组52例患者实施教育干预和认知行为的干预，入院后对患者实施全程系统性健康宣教，并自放疗第1天起到放疗结束整个过程跟踪教育干预及行为干预效果；对照组52例患者只给予放疗常规护理和相应的健康指导。结果实验组患者接受并掌握了放射治疗的相关知识及行为干预方式，提高了患者治疗的依从性，减轻了放射性皮肤损伤程度，降低了放射性皮炎发生率。结论教育和认知干预管理调动了患者的主观能动性，提高了患者的认知能力，改善了患者的不良行为方式，对减轻放射性炎有积极作用，提高了患者的生存质量。
목적：탐토교육화인지행위간예대감경방사성피염적림상효과。방법선택104례유선암개량근치술후접수방사치료적환자，수궤분위실험조화대조조각52례。실험조52례환자실시교육간예화인지행위적간예，입원후대환자실시전정계통성건강선교，병자방료제1천기도방료결속정개과정근종교육간예급행위간예효과；대조조52례환자지급여방료상규호리화상응적건강지도。결과실험조환자접수병장악료방사치료적상관지식급행위간예방식，제고료환자치료적의종성，감경료방사성피부손상정도，강저료방사성피염발생솔。결론교육화인지간예관리조동료환자적주관능동성，제고료환자적인지능력，개선료환자적불량행위방식，대감경방사성염유적겁작용，제고료환자적생존질량。
Objective To explore the clinical effects of education and cognitive behavior intervention to mitigate radiodermatitis. Methods 104 patients who received radiotherapy after modified radical mastectomy of breast cancer were selected and randomly assigned to experimental group and control group with 52 patients in each. Those in the experimental group were received educational intervention and cognitive behavior intervention. The patients were received a comprehensive health education after admission, and the effect of education and behavior intervention during the entire treatment from the beginning to the end of the radiotherapy was monitored and tracked. Those in the control group were only given routine nursing care of radiotherapy and related health education. Results The patients in experimental group accepted and mastered related knowledge of radiotherapy and the ways of behavior intervention. The patients' treatment compliance was improved, the degree of radiation-induced skin damage was reduced, and the incidence of radiodermatitis decreased. Conclusion The education and management of cognitive intervention stimulates patients' subjective initiatives, enhances their cognitive ability, and ameliorates their improper behaviors, which shows a positive effect on mitigating radiodermititis and improves patient's quality of life.