CAJ | 학술논문

目的：探讨系统性护理干预在鼻咽癌患者调强适形放疗中的作用。方法108例鼻咽癌患者采用单双号尾数法分为观察组与对照组，每组各54例，对照组患者进行常规护理干预，观察组在对照组基础上进行系统化护理干预，包含心理护理、口腔护理、皮肤护理、运动指导及社会支持护理等，比较两组患者干预后的张口困难、口腔黏膜溃疡及癌症患者生活质量问卷（ QLQ-CR30）评分状况。结果干预后观察组的张口困难（37．0％vs 57．4％）及口腔黏膜溃疡（51．9％ vs 75．9％）的发生率均显著低于对照组；P＜0．05，干预后，观察组患者的功能维度得分显著高于对照组，P＜0．001，观察组干预后症状领域下的疲劳、疼痛，单项项目下的失眠、食欲下降、便秘得分均显著低于对照组，P＜0．001。结论系统护理干预可有效降低鼻咽癌适形化疗后的张口困难及口腔黏膜损伤的发生率，提升生活质量。
목적：탐토계통성호리간예재비인암환자조강괄형방료중적작용。방법108례비인암환자채용단쌍호미수법분위관찰조여대조조，매조각54례，대조조환자진행상규호리간예，관찰조재대조조기출상진행계통화호리간예，포함심리호리、구강호리、피부호리、운동지도급사회지지호리등，비교량조환자간예후적장구곤난、구강점막궤양급암증환자생활질량문권（ QLQ-CR30）평분상황。결과간예후관찰조적장구곤난（37．0％vs 57．4％）급구강점막궤양（51．9％ vs 75．9％）적발생솔균현저저우대조조；P＜0．05，간예후，관찰조환자적공능유도득분현저고우대조조，P＜0．001，관찰조간예후증상영역하적피로、동통，단항항목하적실면、식욕하강、편비득분균현저저우대조조，P＜0．001。결론계통호리간예가유효강저비인암괄형화료후적장구곤난급구강점막손상적발생솔，제승생활질량。
Objective To explore the efficacy of Systematic nursing intervention in patients with nasopharyngeal carcinoma intensity modulated conformal radiotherapy. Methods 108 cases patients with nasopharyngeal carcinoma were divided into the observation group and the control group, each group contained 54 cases.The control group treated with routine nursing intervention, and the observation group treated with Systematic nursing intervention on the basis of the control group.Include psychological care, oral care, skin care, exercise guidance and social support care.The Trismus rate oral ulcers and the quality of life questionnaire (QLQ-CR30) score status were compared between the two groups.Results The trismus rate (37.0% vs57. 4%) and oral ulcers (51.9% vs75.9%) occurred in the observation group were significantly lower than the control group, P <0.05; After the intervention, the functional dimension of the observation group were significantly higher scores, P<0.001.the fatigue, pain, insomnia, loss of appetite, constipation scores in the observation group were significantly lower than the control group, P<0.001.Conclusions The system of care appropriate intervention can effectively reduce nasopharyngeal trismus and incidence of oral mucosal injury in the form of chemotherapy, improve quality of life.