现象学分析法在鼻咽癌放疗患者护理干预效果评价中的应用.docVIP

现象学分析法在鼻咽癌放疗患者护理干预效果评价中的应用 　　浙江省恩泽医疗集团台州医院，浙江临海 317000 　　[摘要] 目的 分析现象分析护理干预对鼻咽癌放疗患者症状困扰的效果。 方法 选取浙江省恩泽医疗集团台州医院2010年1月～2013年1月诊治的鼻咽癌患者46例为研究对象，根据护理与研究方法，将其分为对照组和观察组，每组各23例。所有患者均行放疗，给予对照组患者常规护理，观察组患者采用现象学分析法分析后行护理干预。比较两组患者的症状困扰情况及满意度。 结果 观察组患者口腔干燥（17.4%）、口咽部疼痛（13.0%）、味觉改变（8.7%）及吞咽障碍发生率（4.3%）均明显低于对照组（82.6%、69.6%、65.2%、56.5%），差异均有高度统计学意义（均P 0.01）；观察组患者满意度（95.7%）明显高于对照组（73.9%），差异有统计学意义（P 0.05）。 结论 通过对鼻咽癌患者放疗中症状困扰情况的质性研究，给予患者有针对性的护理干预，可明显改善患者口咽部不适病症，有助于放疗的顺利开展。 　　[关键词] 鼻咽癌；放疗；症状困扰；质性研究 　　[中图分类号] R739.63 [文献标识码] B [文章编号] 1673-7210（2014）03（a）-0113-04 　　Application of phenomenon analysis in the effect evaluation of nursing intervention on symptom distress of patients with nasopharyngeal carcinoma in radiotherapy 　　ZHOU Lichun NA Ximing ZHOU Lizhen 　　Taizhou Hospital of Enze Medical Group， Zhejiang Province， Linhai 317000， China 　　[Abstract] Objective To analyze the effect of phenomenon analysis of nursing intervention in symptom distress of patients with nasopharyngeal carcinoma. Methods 46 patients with nasopharyngeal carcinoma were selected in Taizhou Hospital of Enze Medical Group of Zhejiang Province from January 2010 to January 2013， and they were divided into control group and observation group according to nursing and research methods， with 23 cases in each group. Patients in two groups were underwent radiotherapy. Patients of control group were given the routine nursing， patients of observation group were treated with nursing intervention after phenomenological analysis. Symptom distress and satisfaction of patients between two groups were compared. Results Incidence of dry mouth （17.4%）； oropharyngeal pain （13.0%）； taste change （8.7%）； dysphagia （4.3%） in observation group were significantly lower than those of control group （82.6%， 69.6%， 65.2%， 56.5%）， the differences were high statistically significant （all P 0.01）； the satisfaction of patients in observation group （95.7%） was significantly higher than that of control group （73.9%）， the difference