综合护理干预对恶性肿瘤患者放疗后防治口腔黏膜炎的影响

目的 探讨对恶性肿瘤患者放疗后采取综合护理干预防治口腔黏膜炎的临床效果及影响.方法 选取2015年3月至2016年4月于本院放疗治疗的恶性肿瘤患者100例,随机分为预防组与对照组,各50例.对照组患者放疗后给予常规护理干预,预防组患者给予综合护理干预,包括饮食护理、口腔护理、中药调理和心理辅导等措施.观察患者放疗后口腔黏膜炎发病率及其治疗效果,分析比较两种护理措施的临床效果.结果 预防组口腔黏膜炎发病率明显低于对照组,差异有统计学意义(P＜0.01).预防组治愈时间平均为(3.98±1.26)d,痊愈8例,治愈率100.00％;对照组患者治愈时间平均为(4.04±1.37)d,痊愈9例,治愈率64.29％.治疗后与治疗前比较,两组白细胞和血小板结果差异均有统计学意义(P＜0.01).结论 采取综合护理干预措施能够有效降低放疗后并发口腔黏膜炎的发病率,有针对性的护理措施能够有效护理口腔,减轻黏膜炎严重程度,使患者积极配合治疗,促进身体健康的恢复.

Comprehensive nursing intervention for prevention and treatment of oral mucositis in patients with cancer after radiotherapy

Objective To explore the effect of comprehensive nursing intervention for the prevention and treatment of oral mucositis in patients with cancer after radiotherapy.Methods 100 with malignant tumor taking radiation treatment at our hospital from March,2015 to April,2016 were randomly divided into a prevention group and a control group,50 cases for each group.The control group were given routine nursing intervention after radiotherapy and the prevention group comprehensive nursing intervention,including diet nursing,oral care,traditional Chinese medicine,psychological counseling,and other measures.The incidence of oral mucositis after radiotherapy and treatment effect were observed in both groups.The nursing effects were compared between these two groups.Results The incidence of oral mucositis was significantly lower in the prevention group than in the control group,with a statistical difference (P ＜ 0.01).The cured time was (3.98±1.26) d and all the 8 patients were cured in the prevention group,with a cured rate of 100.00％.The cured time was (4.04±1.37) d and 9 were cured in the control group,with a cured rate of 64.29％.There were statistical differences in white blood cells and platelets results between before and after treatment in both groups (P ＜ 0.01).Conclusion Comprehensive care intervention can effectively reduce the incidence of oral mucositis after radiotherapy;targeted nursing interventions is effective oral care,reducing the severity of mucositis,so that patients actively cooperate with treatment and promote healthy recovery.