食管癌放疗患者的延续护理

目的探讨中晚期食管癌放疗患者中运用延续护理的效果。方法回顾性分析我院自2012年3月-2014年3月收治的食管癌放疗患者60例,按照就诊时间顺序分成两组,各30例。对照组在出院后给予每周1次的电话回访,试验组在出院后给予延续护理3个月,观察两组患者健康知识掌握情况、患者对护士工作满意度及并发症发生率。结果试验组对休息与活动、饮食知识、皮肤护理、服药知识以及并发症防治的掌握情况明显优于对照组（P〈0.05）。试验组总满意度明显高于对照组（P〈0.05）。试验组出现放射性肺炎、放射性食管炎、放射性皮炎以及食管梗阻的发生率明显低于对照组（P〈0.05）。结论中晚期食管癌患者放疗后行延续护理能显著提高对健康知识的掌握情况,患者满意程度较高,并发症发生率较少,安全性较高,值得推广。

Radiotherapy in patients with extended care

Objective To explore and analyze the effect of radiotherapy in patients with advanced esophageal cancer using extended care. Methods From a retrospective analysis of our hospital from March 2012 to March 2014,60 patients were treated with radiotherapy, according to the chronological treatment, 30 cases in each. The controlled group was given a call once a week after discharging, while the test group extended care after discharging for three months. The two groups were observed health knowledge to grasp the situation, patient satisfaction and complication rates for nurses. Results The experimental group of rest and activity, dietary knowledge, skin care, medication knowledge and mastery prevention of complications was significantly better than the controlled group（P〈0.05）. Experimental group was significantly higher overall satisfaction（P〈0.05）. Experimental group had radiation pneumonitis, esophagitis, the incidence of radiation dermatitis and esophageal obstruction significantly lower than the controlled group（P〈0.05）. Conclusion Patients with advanced esophageal cancer undergoing radiotherapy extended care can significantly improve the health knowledge to grasp the situation, higher patient satisfaction, less complication rate and high security. So it is worth promoting.