综合护理干预对鼻咽癌放疗患者口腔舒适度的影响

目的：探讨综合护理干预对住院治疗鼻咽癌放疗患者口腔舒适度的影响。方法2011年12月-2012年6月放疗患者98例，选取其中放疗第6周/30分次时的50例患者为对照组，采取常规护理干预；2012年7-12月放疗的患者95例，选取其中放疗6周/30分次时的50例患者为观察组，采取综合护理干预。以两组患者自评口干、咽痛、味觉改变症状及口腔舒适度水平为观察指标，进行比较。结果观察组患者放射性口腔黏膜炎发生程度0，Ⅰ，Ⅱ，Ⅲ，Ⅳ级分别有7，15，20，8，0例，对照组分别有1，6，29，13，1例，差异有统计学意义（Z＝-2．872，P＜0．05）；观察组患者口腔舒适度与对照组比较，差异有统计学意义（ P＜0．01）。结论综合护理干预有利于减轻鼻咽癌放疗患者口干、咽痛、味觉改变等症状，减轻放射性口腔黏膜炎的发生程度，提高了患者的口腔舒适度。

Effect of comprehensive nursing intervention on oral comfort in nasopharyngeal carcinoma patients undergoing radiotherapy

Objective To explore the effect of comprehensive nursing intervention on oral comfort in nasopharyngeal carcinoma patients undergoing radiotherapy .Methods Ninety-eight patients undergoing radiotherapy from December 2011 to June 2012 were chosen , and the control group including 50 patients who had undergone radiotherapy 30 times on the sixth week received the routing nursing interventions;95 patients undergoing radiotherapy from July 2012 to December 2012 were chosen , and the observation group including 50 patients who had undergone radiotherapy 30 times on the sixth week received the comprehensive nursing interventions .The self rating symptoms including dry mouth , sore throat , taste change and oral comfort level were compared in two groups .Results The cases of grade 0,Ⅰ,Ⅱ,Ⅲ,Ⅳradioactive oral mucositis in patients were respectively 7,15,20,8,0 cases in the observation group , and were respectively 1,6,29,13,1 cases in the control group, and the difference was statistically significant （Z=-2.872, P＆lt;0.05）.The difference was found in the level of oral comfort in two groups （P＆lt;0.01）.Conclusions Comprehensive nursing intervention can reduce the symptoms including dry mouth , sore throat, taste change in the patients with nasopharyngeal carcinoma radiotherapy , decrease the incidence of radioactive oral mucositis , and improve the level of oral comfort in patients .