宫颈癌放射性皮肤损伤的标准化护理

目的减轻宫颈癌同期放化疗患者放射性皮肤损伤程度。方法将434例宫颈癌同期放化疗患者随机分为观察组与对照组各217例。两组均接受放疗联合同期化疗,对照组按常规进行放射性皮肤损伤防护;观察组根据患者放疗剂量及患者局部情况设计标准化防护方案、规范评估方法、统一防护操作技术防护流程,进行严格质量控制。结果观察组放射性皮肤损伤严重程度显著轻于对照组,会阴部卫生清洁合格率及内裤穿着合格率显著高于对照组(均P0.01)。结论标准化防护方案的实施可有效减轻宫颈癌同期放化疗患者放射性皮肤损伤程度,提高患者卫生防护行为。

Standardized care of radiationinduced skin injury in cervical cancer patients

Objective To reduce the severity of radiationinduced skin injury in cervical cancer patients receiving concurrent radiochemotherapy. Methods A total of 434 cervical cancer patients receiving concurrent radiochemotherapy were randomized into a control group and an observation group, with 217 cases in each group. The control group was subjected to routine preventive care of radiationinduced skin injury, while the observation group was given standardized preventive care including formulating care plan according to radiation dose and local skin conditions of the patient, standardizing assessment methods, unifying preventive procedural techniques and process, and conducting quality control. Results The observation group had milder radiationinduced skin injury and higher qualified rates of perineal hygiene and underwear wearing compared with the control group (P<0.01 for all). Conclusion The implementation of standardized preventive care effectively ameliorates skin damage during radiotherapy in cervical cancer patients receiving concurrent radiochemotherapy, and improves healthy behavior of patients.