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疼痛护理联合营养支持在鼻咽癌放疗患者中的应用

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目的 探讨疼痛护理联合营养支持在鼻咽癌放疗患者中的应用价值.方法 简单随机选取2021年7月—2022年6月期间福建省泉州市第一医院收治的70例鼻咽癌放疗患者为研究对象,按随机数表法分为两组,各35例.对照组进行常规护理,观察组在此基础上应用疼痛护理与营养支持,比较两组患者口腔黏膜炎疼痛程度与溃疡愈合时间、营养状况、生活质量评分及护理满意度.结果 观察组愈合时间短于对照组,疼痛评分低于对照组;观察组A级营养状况占比优于对照组;观察组生理状况评分、情感状况评分、社会/家庭状况评分、功能状况评分均高于对照组,差异有统计学意义(P均<0.05);观察组护理总满意度为94.29%,高于对照组的77.14%,差异有统计学意义(χ2=4.200,P<0.05).结论 在鼻咽癌放疗期间,积极应用个体化营养支持与疼痛护理方案,能够有效改善口腔黏膜炎相关疼痛程度与患者机体营养状况,促进溃疡面愈合,提高生活质量和护理满意度.
Application of Pain Nursing Combined with Nutritional Support in Naso-pharyngeal Carcinoma Radiotherapy Patients
Objective To investigate the application value of pain nursing combined with nutritional support in naso-pharyngeal carcinoma radiotherapy patients.Methods Seventy patients with nasopharyngeal carcinoma treated with ra-diotherapy in Quanzhou First Hospital of Fujian Province from July 2021 to June 2022 were selected conveniently and randomly as the research object and divided into two groups according to random number table method,with thirty-five patients in each group.The control group received routine nursing,and the observation group received pain nurs-ing and nutritional support on this basis.The pain degree of oral mucositis,ulcer healing time,nutritional status,qual-ity of life score and nursing satisfaction were compared between the two groups.Results The healing time of observa-tion group was shorter than that of control group;and the pain score of observation group was lower than that of control group;the proportion of grade A nutrition status in observation group was better than that in control group;physiologi-cal status scores,emotional status scores,social/family status scores and functional status scores of the observation group were higher than those of the control group,and the differences were statistically significant(all P<0.05);the to-tal nursing satisfaction of the observation group was 94.29%higher than that of the control group 77.14%,and the dif-ference was statistically significant(χ2=4.200,P<0.05).Conclusion During nasopharyngeal carcinoma radiotherapy,the active application of individualized nutrition support and pain nursing program can effectively improve the degree of pain related to oral mucositis and the nutritional status of the patients,promote the healing of ulcer surface,and im-prove the quality of life and nursing satisfaction.

Nasopharyngeal carcinoma radiotherapyPain nursingNutritional supportNursing effect

卢丽梅、黄丹丹、陈世煌

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福建省泉州市第一医院放疗科,福建泉州 362000

福建省泉州市第一医院心血管内科,福建泉州 362000

福建省泉州市第一医院影像科,福建泉州 362000

鼻咽癌放疗 疼痛护理 营养支持 护理效果

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(3)
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