参与型护理模式对预防鼻咽癌放射性皮肤损伤的效果观察.pdfVIP

现代临床护理(Modem Clinical 参与塑护理模式对预防鼻咽痛放射性皮肤损伤的效果观察 何少丽，温玉玲，陈简兴 (佛山市第…人民医院，广东佛山，528仪)()) [摘要] 目的 探讨参与刻护理模式对预防鼻咽槽放射性皮肤损伤的放泉。方法 将 2∞9 年 )-6 月在本科~接受治疗的 50 例初 次治疗的鼻响痛患者设为对照组，给予常规ffi 防放射做皮肤损伤护理;2(比附年 7-12 月在本科室接受治疗的 56 例初次治疗鼻喇癌患者设 为实革命组，除给予实施铭规预防放射性皮肤损伤护理外采取由患者主动参与的护理模式。比较两组患者治疗过科皮肤损伤的程度。 结果 实验组放射性皮肤损伤程度明放轻于对照组，组间比较， P 0.05 ，差异具有统计学意义。结论 参与型护混模式能有效预防鼻咽 癌放射性皮肤损伤的根度，确保放疗治疗顺利进行.从而il1.提高了患者的生活质簸。 [关键词] 放射性皮肤损伤;参与观护理模式:护理 [申图分类号] R471 [文献标识码] A [文章编号] 1671幽8283(2011)件舶42-02 [oolJ 10.3969/j.issn.1671-8283.201 1.04.018 [Abstract l Obj侃侃ve To 刷dy the effect of a n棚 nursing mode in which patient忽 participate actively on preventing radiation-induced skin injury in patients with n翩。ph町ngeal carcinoma (NPC). Method嚣 From January to June 2侃)9， 50 patients with newly diagnosed NPC were 棚i伊ed to the control group , who accepted routine nursing in the department. From July 10 Decemher 2剧9 ， 56 patients wilh newly dia伊怖ed NPC were 踊si伊edωthe study 伊Oup ， who accepted routine nursing and participated actively in nursing. Severity of skin injury w朋 compared during the treatment between two 伊咽ups. R创ult Incidence of radiation-induced skin injury ín the study group w，制 stati州cally si伊ificantly lower than that in the control group (P 0.05). Conclusion Patients-participating nursing mode eff，创tively prevented severity of radiation-induced skin injury of patients wi出 NPC ， and thus it can improve the 明ality of patients life. [Key words] radiation-índuced skin injury; patients-participating nursing mode; nursing 放射治疗是鼻H肉痛患者的主要治疗手段之一，放射治 别、年龄、文化程度等比较，均 P 0.05 ， 藏异无统计学意 疗靶区包括鼻咽及颈部淋巴结引流民，由于靶区位置较峰， 义，具有可比性。 1.2 方法 放射怡疗中皮肤剂盘较高，随着放射剂攘的增加，造成正 常组织的损伤，而且颈部皮肤皱搁多，容易摩擦，造成皮肤 1.