作　　者： (）;

机构地区： 深圳市人民医院

出　　处： 《中国卫生标准管理》 2019年第8期1-3,共3页

摘　　要： 目的探究鼻咽癌患者在同步放化疗过程中应用护理干预及个体化营养干预对改善患者临床症状及生活质量的效果。方法选取2016年7月—2018年12月我科收治的鼻咽癌患者共120例作为研究对象,根据数字随机法将其分为观察组与对照组两组,每组60例患者,两组患者均进行根治性放化疗治疗,给予对照组患者行常规护理,观察组患者在常规护理的基础上增加个体化营养干预,观察护理前后两组临床症状及生活质量变化情况。结果干预后观察组患者生活质量评分高于对照组患者生活质量评分(P <0.05);观察组中口腔黏膜炎发生人数Ⅲ期患者与Ⅳ期患者中低于对照组Ⅲ期患者(χ~2=7.070 4,P=0.007 8)与Ⅳ期患者(χ~2=3.927 3,P=0.047 5)中口腔黏膜炎发生人数;观察组患者的平均住院时间低于对照组患者的平均住院时间(P <0.01)。结论临床对鼻咽癌同步放化疗患者应用个体化营养干预,能够提高患者的治疗效果及对治疗的耐受性,降低不良反应发生率,改善营养状况,提高生活质量降低平均住院日。 Objective To explore the effect of nursing intervention and individualized nutrition intervention on improving clinical symptoms and quality of life of patients with nasopharyngeal carcinoma during concurrent radiotherapy and chemotherapy. Methods 120 patients with nasopharyngeal carcinoma admitted to our department from July 2016 to December 2018 were selected as the research object. According to the digital random method, they were divided into observation group and control group. 60 patients in each group were treated with radical radiotherapy and chemotherapy. Patients in control group were given routine nursing. Patients in observation group were given individualized nutritional intervention on the basis of routine nursing. The changes of clinical symptoms and quality of life in the two groups before and after nursing. Results After intervention, the quality of life score of patients in the observation group was higher than that of patients in the control group (P < 0.05);the number of patients with oral mucositis in the observation group in stage Ⅲ and Ⅳ was lower than that in the control group in stage Ⅲ(χ 2=7.070 4, P =0.007 8) and stage Ⅳ(χ 2 =3.927 3, P =0.047 5);the average hospitalization time of patients in the observation group was lower than that in the control group. The average hospitalization time of the patients in the control group was (P < 0.01). Conclusion Individualized nutritional intervention for nasopharyngeal carcinoma patients undergoing concurrent radiotherapy and chemotherapy can improve the therapeutic effect and tolerance to treatment, reduce the incidence of adverse reactions, improve nutritional status, improve the quality of life and reduce the average length of stay.

关 键 词： 鼻咽癌 同步放化疗 护理干预 个体化营养干预 临床症状 生活质量

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