摘要
目的：探讨预见性护理干预对减轻宫颈癌放射治疗并发放射性直肠炎的疗效。方法：选取本院2009年5月-2014年5月宫颈癌放射治疗并发放射性直肠炎患者118例进行研究，按照临床试验数字随机的方法将患者分为两组，每组各59例，对照组采取常规的护理模式进行干预，治疗组在对照组基础上采用预见性护理干预，观察两组患者发生放射性直肠炎情况，患者治疗期间依从性情况以及两组患者治疗期间的满意度及舒适度评价。结果：治疗组实施预见性护理干预后，发生I级直肠放射性损伤4例，II级直肠放射性损伤1例，未发生III级及IV级直肠放射性损伤；而对照组发生I级直肠放射性损伤7例，II级直肠放射性损伤5例，发生III级直肠放射性损伤3例，IV级直肠性损伤者1例，两组直肠放射性损伤发生率相比，差异具有统计学意义，P<0.05；治疗组患者在住院期间其满意度及舒适度显著优于对照组，差异具有统计学意义，P<0.05。结论：预见性护理干预措施显著减轻了放射性直肠损伤程度及发生率，且在提高住院期间的满意度和舒适度有着显著的作用，值得临床推荐。
Abstract
Objective:To study the effect of nursing care intervention to reduce cancer radiotherapy concurrent radiation proctitis. Methods:96 patients with cervical cancer from June 2011 to June 2013 in our hospital were to be studied. They were divided into two groups by randomly. And each group had 48 cases. The control group taking conventional model of care intervention, nursing care in-tervention group were observed on this basis, were observed in patients with radiation proctitis, the situation during patient treatment compliance and satisfaction and comfort during the two groups of patients evaluated. Results:After the implementation of nursing care intervention in the observation group, the occurrence of Class I rectal radiation injury 4 cases, II stage rectal radiation damage 1 case, III and IV grade level radioactive rectal injury occurred;while the control group had grade I injury in 7 cases of rectal radiation, II grade 5 cases of rectal radiation injury, grade III rectal radiation injury occurred 3 cases, IV grade 1 case of rectal injury, radiation injury incidence of rectal groups, the difference was statistically significant, P <0.05; and observe patients during hospitalization was significantly better than their satisfaction and comfort in the control group, the difference was significant, P<0.05. Conclusions:Nursing care interventions significantly reduced the radiation level and the incidence of rectal injury, improved satisfaction and comfort during the treatment of pa-tients hospitalized, worthy of recommendation.
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