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标准化皮肤管理在乳腺癌放疗所致皮肤损害中的应用研究

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目的 探讨标准化皮肤管理在乳腺癌放疗所致皮肤损害中的应用效果。方法 选取 2022 年 1 月—2023 年 6 月在泉州市第一医院放疗科行放疗的乳腺癌患者 108 例,采用抽签法分为对照组与研究组,各 54 例。对照组患者行常规皮肤护理,研究组在此基础上增加标准化皮肤管理干预。对比 2 组的患者皮肤损伤程度、护理效果、皮肤损伤出现时间及修复时间,使用肿瘤患者生活质量测定量表(quality of life questionnaire:core 30,QLQ-C30)比较 2 组患者护理前后生活质量情况,对比2 组护理满意度情况。结果 研究组患者急性放射性损伤皮肤分级显著低于对照组(P<0。05)。研究组皮肤护理有效率显著高于对照组(P<0。05)。研究组皮肤损伤出现时间晚于对照组,修复时间早于对照组,差异有统计学意义(P<0。05)。护理前,2 组QLQ-C30 各维度评分比较,差异无统计学意义(P>0。05);护理后,研究组QLQ-C30 心理、生理、社会及总体健康评分均显著高于对照组(P<0。05)。研究组护理满意度显著高于对照组(98。15%vs。81。48%)(P<0。05)。结论 在乳腺癌放疗患者皮肤护理中增加标准化皮肤管理,具有改善皮肤损伤、延缓损伤进程、促进皮肤修复、提高患者生活质量的效果,且患者护理满意度高。
Application of Standardized Skin Management in Skin Damage Caused by Radiotherapy for Breast Cancer
Objective To explore the application effect of standardized skin management in skin damage caused by radiotherapy for breast cancer.Methods A total of 108 patients with breast cancer who received radiotherapy in the department of tumor radiotherapy,Quanzhou First Hospital from January 2022 to June 2023 were selected and divided into the control group and the research group by lot drawing,54 patients in each group.Patients in the control group were given routine skin care,while patients in the study group were given standardized skin management intervention.The degree of skin injury,nursing effect,time of skin injury appearance and repair were counted and compared between the two groups.The quality of life of patients in the two groups before and after nursing was compared with quality of life questionnaire:core 30(QLQ-C30),and the nursing satisfaction of the two groups was compared.Results The skin grade of patients with acute radiation injury in the study group was significantly lower than that in the control group(P<0.05).The effective rate of skin care in the study group was significantly higher than that in the control group(P<0.05).The appearance time of skin injury in the study group was later than that in the control group,and the repair time was earlier than that in the control group,with statistical significance(P<0.05).Before nursing,there was no significant difference in QLQ-C30 scores between the two groups(P>0.05).After nursing,the psychological,physiological,social and overall health scores of QLQ-C30 in the study group were significantly higher than those in the control group(P<0.05).The nursing satisfaction of the study group was significantly higher than that of the control group(98.15%vs.81.48%)(P<0.05).Conclusion Adding standardized skin management to the skin care of patients with breast cancer undergoing radiotherapy has the effects of improving skin injury,delaying the injury process,promoting skin repair and improving the quality of life of patients,and the patient's nursing satisfaction is high.

standardized skin managementbreast cancer radiotherapyskin damageQLQ-C30repair timenursing satisfaction

刘斯洁、卢丽梅

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泉州市第一医院肿瘤放射治疗科,福建 泉州 362000

标准化皮肤管理 乳腺癌放疗 皮肤损害 生活质量测定量表 修复时间 护理满意度

2024

中国卫生标准管理
《中国卫生标准管理》杂志社

中国卫生标准管理

影响因子:1.374
ISSN:1674-9316
年,卷(期):2024.15(9)