中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2014年
1期
44-47
,共4页
鼻咽肿瘤%放射疗法%综合护理干预%舒适度
鼻嚥腫瘤%放射療法%綜閤護理榦預%舒適度
비인종류%방사요법%종합호리간예%서괄도
Nasopharyngeal neoplasms%Radiotherapy%Comprehensive nursing intervention%Comfort
目的：探讨综合护理干预对住院治疗鼻咽癌放疗患者口腔舒适度的影响。方法2011年12月-2012年6月放疗患者98例，选取其中放疗第6周/30分次时的50例患者为对照组，采取常规护理干预；2012年7-12月放疗的患者95例，选取其中放疗6周/30分次时的50例患者为观察组，采取综合护理干预。以两组患者自评口干、咽痛、味觉改变症状及口腔舒适度水平为观察指标，进行比较。结果观察组患者放射性口腔黏膜炎发生程度0，Ⅰ，Ⅱ，Ⅲ，Ⅳ级分别有7，15，20，8，0例，对照组分别有1，6，29，13，1例，差异有统计学意义（Z＝-2．872，P＜0．05）；观察组患者口腔舒适度与对照组比较，差异有统计学意义（ P＜0．01）。结论综合护理干预有利于减轻鼻咽癌放疗患者口干、咽痛、味觉改变等症状，减轻放射性口腔黏膜炎的发生程度，提高了患者的口腔舒适度。
目的：探討綜閤護理榦預對住院治療鼻嚥癌放療患者口腔舒適度的影響。方法2011年12月-2012年6月放療患者98例，選取其中放療第6週/30分次時的50例患者為對照組，採取常規護理榦預；2012年7-12月放療的患者95例，選取其中放療6週/30分次時的50例患者為觀察組，採取綜閤護理榦預。以兩組患者自評口榦、嚥痛、味覺改變癥狀及口腔舒適度水平為觀察指標，進行比較。結果觀察組患者放射性口腔黏膜炎髮生程度0，Ⅰ，Ⅱ，Ⅲ，Ⅳ級分彆有7，15，20，8，0例，對照組分彆有1，6，29，13，1例，差異有統計學意義（Z＝-2．872，P＜0．05）；觀察組患者口腔舒適度與對照組比較，差異有統計學意義（ P＜0．01）。結論綜閤護理榦預有利于減輕鼻嚥癌放療患者口榦、嚥痛、味覺改變等癥狀，減輕放射性口腔黏膜炎的髮生程度，提高瞭患者的口腔舒適度。
목적：탐토종합호리간예대주원치료비인암방료환자구강서괄도적영향。방법2011년12월-2012년6월방료환자98례，선취기중방료제6주/30분차시적50례환자위대조조，채취상규호리간예；2012년7-12월방료적환자95례，선취기중방료6주/30분차시적50례환자위관찰조，채취종합호리간예。이량조환자자평구간、인통、미각개변증상급구강서괄도수평위관찰지표，진행비교。결과관찰조환자방사성구강점막염발생정도0，Ⅰ，Ⅱ，Ⅲ，Ⅳ급분별유7，15，20，8，0례，대조조분별유1，6，29，13，1례，차이유통계학의의（Z＝-2．872，P＜0．05）；관찰조환자구강서괄도여대조조비교，차이유통계학의의（ P＜0．01）。결론종합호리간예유리우감경비인암방료환자구간、인통、미각개변등증상，감경방사성구강점막염적발생정도，제고료환자적구강서괄도。
Objective To explore the effect of comprehensive nursing intervention on oral comfort in nasopharyngeal carcinoma patients undergoing radiotherapy .Methods Ninety-eight patients undergoing radiotherapy from December 2011 to June 2012 were chosen , and the control group including 50 patients who had undergone radiotherapy 30 times on the sixth week received the routing nursing interventions;95 patients undergoing radiotherapy from July 2012 to December 2012 were chosen , and the observation group including 50 patients who had undergone radiotherapy 30 times on the sixth week received the comprehensive nursing interventions .The self rating symptoms including dry mouth , sore throat , taste change and oral comfort level were compared in two groups .Results The cases of grade 0,Ⅰ,Ⅱ,Ⅲ,Ⅳradioactive oral mucositis in patients were respectively 7,15,20,8,0 cases in the observation group , and were respectively 1,6,29,13,1 cases in the control group, and the difference was statistically significant (Z=-2.872, P<0.05).The difference was found in the level of oral comfort in two groups (P<0.01).Conclusions Comprehensive nursing intervention can reduce the symptoms including dry mouth , sore throat, taste change in the patients with nasopharyngeal carcinoma radiotherapy , decrease the incidence of radioactive oral mucositis , and improve the level of oral comfort in patients .
