CAJ | 학술논문

目的探讨鼻咽癌患者在放射疗程后期发生放射反应的程度及焦虑的护理.方法对68例经病理确诊为鼻咽癌,接受根治性放疗6周的患者,应用自行设计《放射治疗后期患者全身和局部反应的调查》问卷和症状焦虑自评量表(SAS)进行测试分析,针对个体化问题寻找循证证据实施干预措施.结果患者存在问题:①头晕、乏力,如何进行防跌倒护理？②口腔黏膜炎症和溃疡性反应,如何有效预防与减轻口腔黏膜反应,减少口腔真菌感染？③产生不同程度的焦虑等负面反应,如何心理干预？获得随机对照试验、系统评价及Meta分析文献证据并应用,患者满意率占79.4％～98.5％,焦虑反应低于心理疏导前,差异有统计学意义(t=20.431,P＜ 0.01).结论鼻咽癌放疗患者出现放射反应采用证据护理,对降低放射并发症,缓解患者焦虑情绪能收到较好的效果.
목적 탐토비인암환자재방사료정후기발생방사반응적정도급초필적호리.방법 대68례경병리학진위비인암,접수근치성방료6주적환자,응용자행설계《방사치료후기환자전신화국부반응적조사》문권화증상초필자평량표(SAS)진행측시분석,침대개체화문제심조순증증거실시간예조시.결과 환자존재문제:①두훈、핍력,여하진행방질도호리？②구강점막염증화궤양성반응,여하유효예방여감경구강점막반응,감소구강진균감염？③산생불동정도적초필등부면반응,여하심리간예？획득수궤대조시험、계통평개급Meta분석문헌증거병응용,환자만의솔점79.4％～98.5％,초필반응저우심리소도전,차이유통계학의의(t=20.431,P＜ 0.01).결론 비인암방료환자출현방사반응채용증거호리,대강저방사병발증,완해환자초필정서능수도교호적효과.
Objective To investigate the nursing of anxiety and radiation reaction degree of radiation treatments in nasopharyngeal carcinoma (NPC) patients at the late period.Methods 68 patients pathologically diagnosed as NPC who received radiotherapy for about six weeks,used the application of self design as ＜the survey of patients with systemic and local reactions in late radiation therapy ＞ and symptoms of anxiety scale test (SAS) to analyze the questions and seek evidence nursing intervention,according to the individual problems.Results The problems of patients were as follows:① dizziness,fatigue,how to conduct anti-fall care? ② Oral mucosal inflammation and ulcerative reaction,how to effectively prevent and reduce oral mucosa reaction and oral fungal infection? ③ Producing negative reaction,such as different degrees of anxiety,how to carry out psychological intervention? We should obtain randomized controlled trials,systematic reviews and Meta-analysis of documentary evidence,the patients satisfaction rate accounted for 79.4％-98.5％,anxiety reaction was lower than the psychological counseling,the statistical significance was (t=20.431,P ＜ 0.01).Conclusion For NPC patients with radiation reaction,using evidence nursing can effectively reduce the radiation complications,and alleviate the anxiety of patients.