中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2013年
4期
416-418
,共3页
张仕碧%杨青%江庆华%白洪芳%曾万琴
張仕碧%楊青%江慶華%白洪芳%曾萬琴
장사벽%양청%강경화%백홍방%증만금
鼻咽癌%放射治疗%并发症%出院康复指导%团体健康教育
鼻嚥癌%放射治療%併髮癥%齣院康複指導%糰體健康教育
비인암%방사치료%병발증%출원강복지도%단체건강교육
Nasopharyngeal carcinoma%Radiotherapy%Complication%Discharge guidance%Group health education
目的 探讨团体健康教育在鼻咽癌患者放疗后出院指导中的应用效果.方法 将2009年6月至2010年6月行鼻咽癌根治性放疗的初治患者80例作为对照组,出院时进行口头健康教育；2010年6月至2011年6月行鼻咽癌根治性放疗的初治患者80例为观察组,出院时进行团体健康教育.比较两种不同方法的出院指导对鼻咽癌患者放疗后1年并发症发生率的影响.结果 观察组患者出院后1年按时复查、漱口、鼻咽冲洗、张口锻炼、颈部锻炼等康复指导内容的依从性均较对照组升高(85％比68％,97％比88％,99％比70％,100％比72％,95％比60％),差异有统计学意义(x2值分别为6.892,5.766,25.079,25.507,12.822；P＜0.05).观察组患者出院后1年张口困难、颈部运动受限、副鼻窦炎、中耳炎、鼻出血等放疗并发症发生率明显降低(1.2％比15.0％,1.2％比5.0％,3.8％比23.0％,1.2％比12.0％,2.5％比17.0％),差异有统计学意义(x2值分别为11.568,11.568,12.333,7.907,10.000;P ＜0.05).结论 团体健康教育出院指导更加满足鼻咽癌患者根治性治疗的康复需求,加强患者坚持康复功能锻炼的主观意识,提高患者的依从性,减少并发症的发生,有效促进患者的康复,提高患者生存质量.
目的 探討糰體健康教育在鼻嚥癌患者放療後齣院指導中的應用效果.方法 將2009年6月至2010年6月行鼻嚥癌根治性放療的初治患者80例作為對照組,齣院時進行口頭健康教育；2010年6月至2011年6月行鼻嚥癌根治性放療的初治患者80例為觀察組,齣院時進行糰體健康教育.比較兩種不同方法的齣院指導對鼻嚥癌患者放療後1年併髮癥髮生率的影響.結果 觀察組患者齣院後1年按時複查、漱口、鼻嚥遲洗、張口鍛煉、頸部鍛煉等康複指導內容的依從性均較對照組升高(85％比68％,97％比88％,99％比70％,100％比72％,95％比60％),差異有統計學意義(x2值分彆為6.892,5.766,25.079,25.507,12.822；P＜0.05).觀察組患者齣院後1年張口睏難、頸部運動受限、副鼻竇炎、中耳炎、鼻齣血等放療併髮癥髮生率明顯降低(1.2％比15.0％,1.2％比5.0％,3.8％比23.0％,1.2％比12.0％,2.5％比17.0％),差異有統計學意義(x2值分彆為11.568,11.568,12.333,7.907,10.000;P ＜0.05).結論 糰體健康教育齣院指導更加滿足鼻嚥癌患者根治性治療的康複需求,加彊患者堅持康複功能鍛煉的主觀意識,提高患者的依從性,減少併髮癥的髮生,有效促進患者的康複,提高患者生存質量.
목적 탐토단체건강교육재비인암환자방료후출원지도중적응용효과.방법 장2009년6월지2010년6월행비인암근치성방료적초치환자80례작위대조조,출원시진행구두건강교육；2010년6월지2011년6월행비인암근치성방료적초치환자80례위관찰조,출원시진행단체건강교육.비교량충불동방법적출원지도대비인암환자방료후1년병발증발생솔적영향.결과 관찰조환자출원후1년안시복사、수구、비인충세、장구단련、경부단련등강복지도내용적의종성균교대조조승고(85％비68％,97％비88％,99％비70％,100％비72％,95％비60％),차이유통계학의의(x2치분별위6.892,5.766,25.079,25.507,12.822；P＜0.05).관찰조환자출원후1년장구곤난、경부운동수한、부비두염、중이염、비출혈등방료병발증발생솔명현강저(1.2％비15.0％,1.2％비5.0％,3.8％비23.0％,1.2％비12.0％,2.5％비17.0％),차이유통계학의의(x2치분별위11.568,11.568,12.333,7.907,10.000;P ＜0.05).결론 단체건강교육출원지도경가만족비인암환자근치성치료적강복수구,가강환자견지강복공능단련적주관의식,제고환자적의종성,감소병발증적발생,유효촉진환자적강복,제고환자생존질량.
Objective To evaluate the effect of group health education for nasopharyngeal carcinoma patients who received radiotherapy.Methods Eighty cases of previously untreated patients with nasopharyngeal carcinoma who accepted radical radiotherapy from June 2009 to June 2010 were chosen as the control group,and 80 cases with the same conditions through June 2010 to June 2011 were chosen as the experimental group.The control group and experimental group were given oral health education and group health education respectively.The incidence of radiotherapy-related complications in patients who accepted two different methods of discharge guidance were compared.Results The improvement of patient compliance to rehabilitation guidance including regular reexamination,gargling,nasopharyngeal washing,mouth opening excise and neck excise was better in the experimental group than in the control group (85％ vs 68％,97％ vs 88％,99％ vs 70％,100％ vs 72％ and 95％ vs 60％),and the differences were statistically significant (X2 =6.892,5.766,25.079,25.507,12.822,respec.tively; P ＜ 0.05).The decreases in rate of complications including difficulty in mouth opening,neck movement restriction,sinusitis,otitis media and nasal bleeding were also better in the experimental group than in the control group (1.2％ vs 15.0％,1.2％ vs 5.0％,3.8％ vs 23.0％,1.2％ vs 12.0％ and 2.5％ vs 17.0％),and the differences were statistically significant (x2 ＝ 11.568,11.568,12.333,7.907,10.000,respectively; P ＜ 0.05).Conclusions Group health education can better meet the rehabilitation needs of patients with nasopharyngeal carcinoma,strengthen their subjective awareness of persisting in rehabilitation functional exercise,improve patient' s compliance and reduce the incidence of complications,so as to promote their rehabilitation and improve their life quality.
