护理干预对乳腺癌术后IMRT放疗皮肤损伤的影响.docVIP

护理干预对乳腺癌术后IMRT放疗皮肤损伤的影响 　　【摘要】目的分析护理干预对乳腺癌术后放疗患者皮肤损伤的影响。方法 选取本院2011年1月~2013 年6月收治的乳腺癌患者92例, 随机分为干预组与对照组各46例。对照组给予放疗常规皮肤护理方法, 干预组给予针对性护理, 比较两组患者的护理满意度、皮肤损伤程度与放疗中断率的差异。结果干预组患者满意度明显高于对照组(P0.01)；皮肤损伤程度明显低于对照组(P0.05)；放疗中断率明显低于对照组(P0.05)。结论护理干预明显减少了放射性皮肤损伤的发生, 减轻了放射性皮肤损伤的程度。 　　【关键词】护理干预；乳腺癌；放射性皮肤损伤 　　 　　Effect of nursing intervention on patients with radiation injury of skin after breast cancer operation CHEN Ying, ZHANG Fen, YANG Feng-hua. Tengzhou Central Peoples Hospital, Tengzhou 277500, China 　　【Abstract】Objective#8195;To analyze the effect of nursing intervention on patients with radiation injury of skin after breast cancer operation. Methods#8195;Selecting 92 patients with breast cancer from January 2011 to June 2013 in our hospital and randomly dividing them into intervention group and control group, 46 cases for each group. The control group received conventional radiotherapy skin care methods, the intervention group received targeted care, compared two groups of patients satisfaction with care, skin damage and radiation interrupt rate differences. Results#8195;The intervention group was significantly higher patient satisfaction(P0.01); skin lesions was significantly lower than the control group(P0.05); radiotherapy interruption was significantly lower than the control group(P0.05). Conclusion#8195;Nursing intervention can significantly reduce incidence of radiation-induced skin damage and degree of radiation-induced skin damage. 　　【Key words】Nursing intervention; Breast cancer; Radioactive skin injury从世界范围来看, 乳腺癌已成为全球妇女首发的恶性肿瘤, 我国妇女尤其是城市妇女的乳腺癌发病率也在逐年上升, 且发病呈现年轻化趋势［1］。乳腺癌术后有选择地给予放射治疗, 可降低局部复发率, 提高生存质量, 是乳腺癌综合治疗的主要手段之一［2］。放疗不仅杀伤肿瘤细胞, 还能损伤正常组织, 导致不同程度的皮肤损伤, 给患者带来极大的痛苦。因此放疗过程中的健康宣教和精心护理显得尤为重要。 　　1资料与方法 　　1. 1一般资料选取本院2011年1月~2013 年6月收治的乳腺癌患者92例, 随机分为干预组与对照组各46例。干预组年龄35~62岁, 平均(48.5±8.4)岁；对照组年龄33~64岁, 平均(49.9±8.9)岁。年龄差异无统计学意义(P=0.4010.05)。 　　1. 2治疗模式治疗模式均为改良根治术+精确放疗, 放疗采用常规分割, 50 Gy/2 Gy/25 F/5 W。 　　1. 3放射性皮肤损伤分级根据RTOG急性放射损伤分级标准将放疗后皮肤损伤分为5级［3］：0级, 无变化；1级