中药保留灌肠预防宫颈癌患者放射性直肠损伤的效果

目的探讨中药保留灌肠预防宫颈癌患者放射治疗所致放射性直肠损伤的效果。方法按随机数字表法将2009年11月至2011年6月在南通市肿瘤医院行放射治疗的100例宫颈癌患者分为对照组及中药预防组各50例,对照组采用放射治疗常规护理,中药预防组除常规护理外,在后装放射治疗后用自制中药80～100ml行保留灌肠,1次/d,连续3d,直至后装治疗结束。观察后装放射治疗5次3d内、治疗结束后3个月、6个月两组患者发生放射性直肠损伤的情况。结果中药预防组后装放射治疗5次3d内1、2级直肠损伤发生率均低于对照组(均P<0.05);放射治疗结束后3个月、6个月,中药预防组保留灌肠直肠损伤的发生率均低于对照组,差异均有统计学意义(均P<0.05)。结论宫颈癌患者放射治疗时给予中药保留灌肠可预防放射性直肠损伤。     

宫颈癌放射治疗77例临床护理

对77例宫颈癌患者行放射治疗,从心理护理、健康教育、营养与饮食、放射野皮肤护理、放疗反应观察处理、出院指导等方面进行精心指导和护理.结果77例均顺利完成放射治疗计划,其中放疗后出现放射性直肠炎8例,放射性膀胱炎5例,放射性阴道炎3例,放射性皮肤炎10例.认为精心护理能减少和预防放疗并发症的发生,使患者顺利完成治疗计划,提高治疗的依从性.     

宫颈癌放疗150例的护理

目的探讨宫颈癌患者放射治疗全程护理干预措施。方法对150例宫颈癌患者行体外＋腔内放射治疗的同时,加强心理护理、饮食护理和放射性直肠炎、放射性膀胱炎的护理。结果 150例宫颈癌患者经放射治疗及护理,原发病灶得到有效控制,明显减轻了并发症,提高了护理质量。结论对放射治疗的全程护理干预对策疗效确切。     

低温中药灌肠预防宫颈癌患者放射性直肠损伤的效果

目的 探讨低温中药灌肠预防宫颈癌患者放射治疗所致直肠损伤的效果.方法 将100例采取后装放射治疗的宫颈癌患者随机分为试验组和对照组,两组均采用后装放射治疗常规护理方法.试验组除常规护理外,在施用器放置后,用导尿管连接微量输液泵直肠给药降温,微泵匀速推注4～6℃自制中药10～15ml,后装放射治疗后行上述成分中药常规方法保留灌肠,1次/d,连续3d.观察后装放射治疗5次后3d内、放疗结束后3个月、6个月两组患者发生放射性直肠损伤的情况.结果 试验组后装放射治疗5次后3d内,1、2级直肠反应发生率均低于对照组;后装放射治疗结束后3个月、6个月,试验组直肠损伤的发生率及损伤的程度低于对照组,差异均有统计学意义(P=0.000).结论 低温中药灌肠可降低宫颈癌患者行后装放射治疗所致的放射性直肠反应.     

肺癌放射治疗114例的护理

目的：探讨肺癌放射治疗的特点,加强护理工作。方法：对114例肺癌患者行放射治疗护理资料进行回顾分析。结果：除5例发生放射性肺炎、1例大咯血外其余行放射治疗后均已治愈。结论：对放疗的全程护理干预及对策行之有效。     

高剂量率腔内后装放射治疗164例子宫颈癌临床分析

对全盆加四野体外照射与高剂量率腔内后装放射治疗１６４例宫颈癌进行临床分析。方法：应用Ｂｕｃｈｌｅｒ后装机合并Ｃｏ＾６０或８ＭＶ直线加速器对１６４例宫颈癌患者行根治性放射治疗。其中Ⅰ期１例，Ⅱ期６７例，Ⅲ期９５例，Ⅳ例１例。结果：Ⅱ，Ⅲ期子宫颈癌５ａ生存率分别为７６．１％，５７．９％，放射性直肠炎和放射性膀胱炎发竹率为１０．４％和８．５％。     

网络成瘾患者父母教养方式及护理干预措施研究

目的：探讨三维调强适形放射治疗宫颈癌的护理方法。方法：对37例中晚期宫颈癌患者采用高能直线加速器实施全程三维调强适形放疗，2Gy／次，5次／周，总剂量50Gy。在放疗前后进行精心的病情观察及护理。结果：本组均顺利完成放射治疗，不良反应小，治疗有效率为100％。结论：对宫颈癌患者行三维调强适形放射治疗过程中做好相应护理，能提高疗效，降低并发症发生率。     

宫颈癌放射治疗的护理干预

目的:探讨宫颈癌患者放射治疗全程实施护理干预的效果。方法:对100例宫颈癌患者行体外+腔内放射治疗的同时,实施心理护理、健康教育指导、饮食指导和放射性直肠炎、放射性膀胱炎的护理等护理干预。结果:100例宫颈癌患者经体外+腔内放射治疗及护理,原发病灶得到有效控制,明显减轻了并发症带来的不适与痛苦,提高了护理质量,患者满意度也大大提高。结论:对宫颈癌放射治疗患者实施全程护理干预是必不可少的,可帮助患者达到良好的治疗效果。     

中晚期宫颈癌门诊放射治疗的观察与护理

目的:探讨门诊中晚期宫颈癌患者外照射加后装治疗的副反应以及护理干预具体实施方法。方法:对358例中晚期宫颈癌患者行体外加后装放射治疗的同时,采取针对性的心理疏导、健康教育、对放射性肠炎、放射性膀胱炎及宫腔积液实施精心的护理。结果:358例宫颈癌患者经体外加后装放射治疗及细心护理,患者均顺利完成治疗计划,原发病灶得到有效控制,副反应明显减轻,提高了患者的生活质量,体现了护理工作的重要性及护理工作者自身价值。结论:对宫颈癌门诊放射治疗患者进行及时、周到、全程护理干预至关重要。     

76例宫颈癌体外放射治疗加^（60）Co后装腔内治疗临床分析

目的：探讨宫颈癌体外放射治疗加后装腔内治疗的疗效和放射反应。方法：对76例宫颈癌患者均采用体外放射治疗加^60Co后装腔内治疗临床资料进行回顾性分析。结果：全组5年总生存率为63.7%,Ⅰ期生存率为88.9%,Ⅱ期为71.9%,Ⅲ期为48.1%,Ⅳ期为20.0%。10年总生存率为31.6%,Ⅰ期生存率为53.3%,Ⅱ期为33.3%,Ⅲ期为22.0%,Ⅳ期为0.0%,经Log Rank法检验各期生存率有显著差异（P〈0.01）。放射治疗后发生阴道粘连9例（11.8%）,放射性膀胱炎6例（7.9%）,放射性直肠炎13例（17.1%）。放射性直肠炎按RTOG晚期放射损伤分级方案分级,1级7例（53.8%）,2级4例（30.8%）,3级2例（15.4%）,4级0例（0.0%）。结论：体外放射治疗加^60Co后装腔内治疗宫颈癌疗效肯定,副作用少。但如何进一步提高生存率,尽可能减少放射反应仍是今后研究的方向。     

宫颈癌患者术后放疗的护理

目的总结宫颈癌术后患者放疗的护理特点。方法对43例宫颈癌术后患者采用心理指导、健康教育以及放疗前、中、后的精心护理,使患者积极配合治疗。结果所有患者通过放射治疗和全程护理,消除了不良心理状态,积极配合治疗,顺利完成了放疗计划。结论宫颈癌术后患者放疗同时通过正规护理可减轻放射损伤,提高肿瘤局部控制率,同时改善生活质量。     

护理干预对宫颈癌患者放疗后并发症的影响

目的 探讨护理干预对宫颈癌患者放疗后并发症的影响.方法 将130例宫颈癌放疗患者随机分为两组,对照组只按常规的方法进行治疗及护理,而观察组除了常规的治疗和护理外,根据患者的情况在两个放疗阶段均实施心理护理、健康教育指导、个体化对症处理等护理干预,然后对两组患者出现并发症的例数以及满意程度进行比较.结果 观察组患者放疗第一个阶段后及第二个阶段后并发症的发生率明显低于对照组,满意度也明显高于对照组,差异均有显著性意义(P＜0.05).结论 对宫颈癌放疗患者实施护理干预可有效减少并发症的发生,提高患者满意度.     

63例宫颈癌患者急性放射性阴道黏膜损伤的细节护理

总结对63例宫颈癌患者运用细节护理达到减轻急性放射性阴道黏膜损伤的经验。对宫颈癌放疗患者均实施了阴道冲洗和按医嘱阴道用药、心理护理及健康宣教、饮食指导、促进阴道分泌物的排出及做好会阴部护理、执行好无菌操作5条护理常规,注重认真实施常规护理中每个细节护理,观察阴道黏膜损伤及用药情况。63例患者均顺利通过放射治疗,在放射治疗结束时阴道黏膜损伤1级50例,2级13例,无3级、4级损伤。     

Women's experience of internal radiation treatment for uterine cervical cancer

AIM: This paper is a report of a study to explore the experiences of women undergoing internal radiation for cervical cancer. BACKGROUND: Cervical cancer continues to be one of the most common cancers and one of the leading causes of cancer deaths globally. Women's experiences of undergoing internal radiation for cervical cancer remain relatively unexplored, in particular in Hong Kong. Better understanding of the experiences of this specific group could inform the provision of supportive care services and provide useful information to be included in education programmes for them. METHOD: A phenomenological approach was adopted and unstructured telephone interviews were carried out with eight participants between July and October 2004. The interviews were audio-taped and analysed using the procedures described by Giorgi, 1985. FINDINGS: Three themes were identified from the data: (1) isolation versus social intercourse, (2) unbearable symptom distress versus endurance and coping and (3) growth from the experience. The most distressing aspects of undergoing internal cervical irradiation reported by the patients were the experience of isolation and various physical and psychological symptoms. Specific provisions in the physical environment, psychological support provided by healthcare professionals, family and fellow patients and a positive attitude helped them to cope. They also felt that they became stronger through their hardship and suffering. CONCLUSION: The findings highlight the importance of adequate preparation of patients, carers and friends before the procedure, more sensitive support during the procedure and debriefing afterwards. There might also be benefits in delivering therapy to two women in adjacent beds to enable them to support each other.     

整体护理对宫颈癌手术患者并发症和生存质量的影响

目的:探讨整体护理对宫颈癌手术患者并发症和生存质量的影响.方法:将80例行宫颈癌手术的患者随机分为观察组与对照组各40例.对照组实施常规护理,观察组实施整体护理.观察两组患者术后并发症发生率和出院6个月后的生存质量.结果:观察组尿潴留、尿路感染、深静脉血栓形成的发生率明显低于对照组,生存质量明显高于对照组(P＜0.05).结论:整体护理可以减少宫颈癌手术后患者的并发症,提高其生存质量.     

宫颈癌患者配偶照顾疲劳感及影响因素的研究

目的 探讨宫颈癌患者配偶的照顾疲劳感并分析其影响因素。方法 采用疲劳量表、照顾者压力量表、简易应对方式问卷对240名宫颈癌患者配偶进行调查。结果 宫颈癌患者配偶照顾疲劳总分为（8.92±1.64）分,85.00%的宫颈癌患者配偶处于中度、重度疲劳;与癌症患者配偶相比,躯体疲劳、心理疲劳及疲劳总分均高于癌症患者配偶且有统计学意义。其疲劳感受照顾时间、应对方式、身体心理健康状况及社交经济状况的影响。结论 宫颈癌患者配偶照顾疲劳感发生率高,临床医护人员应针对配偶照顾疲劳感的影响因素,对其实施有针对性的健康教育指导和干预措施,以减轻宫颈癌患者配偶照顾疲劳感,提高其生活质量及身心健康,进而提高对患者的照顾质量,促进患者疾病的康复。     

宫颈癌放疗108例护理体会

目的:探讨宫颈癌患者放疗的护理方法.方法:对108例宫颈癌放疗患者采取相应的护理措施,观察放疗效果.结果:本组病例均顺利完成放疗计划,取得满意效果.结论:对宫颈癌放疗患者进行有效的护理,使患者在治疗中能够积极参与,可提高放疗效果.     

Impact of culturally based medicine on patient decision-making

Abstract

This is a case of Ms. C, a 37-year-old woman originally from Zambia, Africa, with an unremarkable medical history prior to the unfortunate diagnosis of cervical cancer in 2014. Ms. C, was diagnosed with cervical cancer at an early stage with many treatment options available at the time of her diagnosis to potentially limit disease progression. Such therapeutic options included: conventional surgery, chemotherapy and radiation therapy, all commonly recognized treatment approaches for medical management, utilizing ‘westernized’ medicinal theories. Based upon the ideology of the patient's family and her own personal beliefs of healing and western medical practices, she instead opted for a culturally based complementary and alternative medicine (CAM) management of her cervical cancer and declined surgery, chemotherapy and radiation therapy. After 2 years of CAM management, her cervical cancer metastasized to her lungs and brain. After numerous hospitalizations for cancer-related illnesses and increasing symptom burden, she sought typical western medical interventions including chemotherapy, external beam radiation, along with a nephrostomy tube for renal failure and uterine artery embolization for chronic uterine bleeding. Within 6 months of such interventional techniques failing to improve her prognosis, the patient died under hospice home care. This case highlights the importance of elucidating how a patient understands their own medical condition and reconcile their belief system and cultural practices early in the management and treatment process. This is possible through emphasizing and practicing a thorough cross-cultural interview and is especially important when dealing with potentially life limiting pathologies like cancer, and when making key decisions such as choosing between CAM vs. western medicinal practices, or a holistic approach utilizing both. Physicians and patients must focus on removing cultural barriers to medical care.     

TC方案同期化疗联合调强适形放疗治疗中晚期宫颈癌的护理

总结了紫杉醇联合卡铂（Tc方案）同期化疗联合调强适形放疗治疗48例中晚期宫颈癌的护理措施,主要包括心理护理、放疗护理、化疗护理、中心静脉导管护理等。认为给予积极有效的护理措施,能有效减轻放化疗的副反应,有利于患者的预后和康复,提高生活质量。     

个性化护理干预对宫颈癌患者后装腔内治疗影响的研究

目的研究个性化护理干预方法对宫颈癌患者后装腔内治疗焦虑恐惧程度、疼痛、阴道出血、放射性直肠炎的影响。方法将106例初治Ⅲ期以上宫颈癌患者在我科行后装腔内治疗,随机分为实验组56例和对照组50例。实验组按照实验方案执行干预措施,在后装腔内治疗前、中、后依据患者心理、行为、疾病分期、个性特点进行个性化护理干预。对照组在后装腔内治疗前、中、后进行一般健康宣教,介绍宫颈癌放疗及后装腔内治疗医疗护理常识及保健知识。比较两组焦虑恐惧程度、疼痛、阴道出血、放射性直肠炎的发生情况。结果实验组焦虑恐惧、疼痛程度、阴道出血、放射性直肠炎发生率明显低于对照组(P<0.05)。结论个性化护理干预措施可减轻后装腔内治疗患者焦虑恐惧,控制疼痛,减少阴道出血、放射性直肠炎的发生率,增加患者舒适感。