护理干预对食管癌放疗患者进食疼痛影响.docVIP

护理干预对食管癌放疗患者进食疼痛影响 　　[摘要] 目的 探讨护理干预对食管癌放疗患者进食疼痛的影响。方法 对80例食管癌放疗患者随机分为对照组（n=40）和实验组（n=40），对照组采用常规护理，实验组在常规护理的基础上给予包括心理护理、口咽护理、饮食护理、疼痛护理及舒适护理在内的综合护理干预。结果 经综合护理干预，实验组患者轻度进食疼痛的症状较对照组差异有统计学意义（P0.05），患者满意度明显高于对照组，两组结果比较有显著性差异（P0.05）。结论 护理干预能有效缓解食管癌放疗患者的进食疼痛症状，提高了患者满意度。 　　[关键词] 护理干预；食管癌；放疗；进食疼痛 　　[中图分类号] R473.73 [文献标识码] B [文章编号] 2095-0616（2015）17-126-04 　　The influence of nursing intervention on the eating pain of patients with esophageal cancer radiotherapy 　　WANG Yujie XING Shaozhi FENG Haiyu 　　The Affiliated Hospital of Binzhou Medical College， Binzhou 256600， China 　　[Abstract] Objective To explore the influence of nursing intervention on the eating pain of patients with esophageal cancer radiotherapy. Methods 80 cases with esophageal cancer radiotherapy were randomly divided into control group （n=40） and experimental group （n=40）.The control group using conventional care， experimental group on the basis of conventional nursing implementation of comprehensive nursing intervention， including psychological nursing， oropharyngeal nursing， diet nursing， pain nursing and comfortable nursing. Results After comprehensive nursing intervention， there was statistically significant difference in the comparison of mild eating pain symptoms between the two groups and the satisfaction rate of the patients was significantly higher in the intervention group than the control group（P0.05）. Conclusion The nursing intervention can effectively relieve eat pain symptoms in patients with esophageal cancer radiotherapy， which also improves the patients satisfaction. 　　[Key words] Nursing intervention； Esophageal cancer； Radiotherapy； Eating of pain 　　食管癌是常见的消化道恶性肿瘤，居国内恶性肿瘤的第4位[1]。放射治疗是食管癌的主要治疗手段，然而，放疗也会产生放射性食管炎，导致患者进食疼痛，严重影响患者的生活质量，甚至影响放疗计划的顺利进行[2]。因此，如何采取有效地护理措施，减轻食管癌放疗患者的进食疼痛症状成为护理人员关注的问题。本科2009年6月～2014年6月对40例食管癌放疗患者实施了综合护理干预，现报道如下。 　　1 资料与方法 　　1.1 一般资料 　　选择2009年6月～2014年6月来我科进行首次根治性放疗的80例食管癌患者作为研究对象，随机分为观察组和对照组各40例，其中男49例，女31例。年龄45～76岁。两组患者的病理报告均为食管恶性肿瘤，其中鳞癌35例，腺癌33例，小细胞癌12例。两组