Application of 4R crisis management theory in the management of radiation dermatitis in patients with breast cancer during radiotherapy
Objective To explore the application of 4R crisis management theory in the management of radiation dermatitis in patients with breast cancer during radiotherapy.Methods This study was a retrospec-tive cohort study.Using the cluster sampling method,a total of 52 breast cancer postoperative radiotherapy patients who received radiotherapy in the Cancer Radiation Center of the hospital from March 2021 to Febru-ary 2022 were selected as the control group,and 57 breast cancer postoperative radiotherapy patients who re-ceived radiotherapy in the Cancer Radiation Center of the hospital from March 2022 to February 2023 were se-lected as the observation group.The control group was intervened with routine nursing management mode,while the observation group was managed with 4R crisis management theory.The incidence,severity,comfort,and overall satisfaction of radioactive dermatitis in the two groups were compared.Results The incidence of radiation dermatitis in the observation group[40.35％(23/57)]was lower than that in the control group[69.23％(36/52)],and the difference was statistically significant(x2=9.134,P＜0.05).The severity of radi-ation dermatitis in the observation group was significantly less than that in the control group,and the differ-ence was statistically significant(Z=-3.445,P=0.003).The comfort and overall satisfaction of the observa-tion group during treatment were better than those of the control group,and the differences were statistically significant(Z=-2.553,P=0.011;Z=-2.332,P=0.020).Conclusion The application of 4R crisis man-agement theory in the management of radiation dermatitis in patients with breast cancer during radiotherapy can significantly reduce the incidence and severity of radiation dermatitis,improve patient comfort and overall satisfaction during treatment.
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