个体化教育提高鼻咽癌患者放疗依从性的临床效果观察

目的 研究通过个体化健康教育提高鼻咽癌患者放疗依从性的效果。方法 选取2015年1月至2017年4月在我院放疗科进行放射治疗的鼻咽癌患者66例，采用随机数字表法分为两组，其中对照组33例，采用病房常规鼻咽癌放疗护理；干预组33例，在对照组护理基础上，加用个体化教育，提高鼻咽癌患者放疗的依从性。观察时间均为放疗开始至结束后3个月，比较对照组及干预组两组患者的放疗依从性和不良反应的发生率及分级情况。结果 个体化教育干预组患者依从性明显高于对照组，不良反应的发生率低于对照组，干预组放射性颞颌关节炎、皮肤急性放射损伤不良反应率明显低于对照组，组间比较差异有统计学意义（P < 0.05）。干预组口腔粘膜急性放射损伤不良反应率低于对照组，无统计学意义（P>0.05）。结论 通过个体化教育可以提高鼻咽癌患者放疗的依从性，减轻放射性颞颌关节炎及皮肤急性放射损伤等不良反应的程度。提高患者放疗后生活质量。

Clinical effect of individualized education on radiotherapy compliance of patients with nasopharyngeal carcinoma

Objective To observe the effect of individualized health education on the compliance of nasopharyngeal carcinoma patients with radiotherapy. Methods 66 patients with nasopharyngeal carcinoma who underwent radiotherapy from January 2015 to April 2017 were selected. 33 patients in the control group were treated with conventional radiotherapy for nasopharyngeal carcinoma in the ward, 33 patients in the intervention group were treated with individualized education on the basis of nursing in the control group, and 33 patients in the intervention group were divided into two groups by using random digital table method. To improve the compliance of patients with health education. The observation time was 3 months after the beginning and the end of radiotherapy. The compliance of health education and the occurrence of adverse reactions were compared between the control group and the intervention group. Results The compliance of the patients in the individualized education intervention group was significantly higher than that in the control group, the incidence of adverse reactions was lower than that in the control group, and the adverse reaction rate of radiation temporomandibular arthritis was significantly higher than that of the control group. There was significant difference between the two groups (P<0.05), but the oral mucosa in the intervention group was slightly better than that in the control group (P>0.05). Conclusion Individualized education can improve the compliance of nasopharyngeal carcinoma patients with radiotherapy, alleviate the adverse reaction of radiation temporomandibular arthritis, and improve the quality of life after radiotherapy.