饮食护理联合心理干预对鼻咽癌放疗患者的影响

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中文摘要：目的:探讨饮食护理联合心理干预对鼻咽癌放疗患者的影响。方法:将 2022 年 10 月 1 日～2023 年 4 月 30 日收治的 80例鼻咽癌放疗患者随机分为研究组(饮食护理联合心理干预)和对照组(常规护理)各 40 例;比较两组放疗前及干预后血红蛋白(Hb)、血清白蛋白(ALB)、前白蛋白(PA)水平，健康知识知晓率，干预前后汉密顿焦虑量表(HAMA)、汉密顿抑郁量表(HAMD)、Piper疲乏量表(PFS)、自我护理能力测定量表(ESCA)、健康调查简表(SF-36)评分，不良事件发生率。结果:干预后，两组Hb、ALB、PA水平低于放疗前(P<0。05)，研究组高于对照组(P<0。01);研究组健康知识知晓率高于对照组(P<0。05)、不良事件发生率低于对照组(P<0。05);干预后，两组HAMA、HAMD、PFS评分低于干预前(P<0。05)，且研究组低于对照组(P<0。01);干预后，两组ESCA、SF-36 评分高于干预前(P<0。05)，且研究组高于对照组(P<0。01)。结论:饮食护理联合心理干预能改善鼻咽癌放疗患者的血液营养指标和自护能力，减轻负性情绪及癌因性疲乏程度，提高患者健康知识知晓率和生活质量，减少不良事件。

外文标题：Effect of Dietary Nursing Combined with Psychological Intervention on Patients with Nasopharyngeal Cancer Treated with Radiotherapy

外文摘要：Objective:To explore the effect of dietary nursing combined with psychological intervention on patients with nasopharyngeal cancer treated with radiotherapy.Methods:A total of 80 patients with nasopharyngeal cancer treated with radiotherapy from October 1,2022 to April 30,2023 were selected as the research objects,and randomly divided into the study group and the control group,with 40 cases in each group.The patients in control group were given routine nursing care,and the research group was given dietary nursing care combined with psychological intervention.The levels of Hb,ALB and PA were compared between the two groups before and after radiotherapy.The awareness rate of health knowledge and the scores of HAMA,HAMD,PFS,ESCA,SF-36 and the incidence of adverse events were com-pared between the two groups before and after intervention.Results:After intervention,the levels of Hb,ALB and PA in the two groups were lower than those before radiotherapy(P<0.05),and those in the study group were higher than those in the control group(P<0.01).The health awareness rate of the study group was higher than that of the control group(P<0.05),and the incidence of adverse events was lower than that in the control group(P<0.05).HAMA,HAMD and PFS scores in two groups were lower after intervention than those before intervention(P<0.05),and those in the study group were lower than those in the control group(P<0.01).After intervention,the ESCA and SF-36 scores of the two groups were higher than those before intervention(P<0.05),and the scores in the study group were higher than those in the control group(P<0.01).Conclusion:In the treatment of radiotherapy,the dietary nursing combined with psychological in-tervention can improve blood nutrition indexes and self-care ability of the patients with nasopharyngeal cancer,alleviate negative emotions and cancer-related fatigue,improve their health knowledge awareness and quality of life,and reduce the occurrence of adverse events.

外文关键词：

Nasopharyngeal cancerRadiotherapyDietary nursingPsychological interventionSelf-care abilityQuality of life

作者：

杨雪英、祝琳、曹丹

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作者单位：

福建医科大学肿瘤临床医学院福建省肿瘤医院福建福州 350014

关键词：

鼻咽癌放疗饮食护理心理干预自护能力生活质量

出版年：

2024

DOI：