规范化护理评估在头颈部肿瘤放疗致毒副反应中的应用

目的 探讨规范化护理评估在头颈部肿瘤患者放疗致毒副反应中的应用效果。方法 选取2016年1月-2018年1月在我院肿瘤科行头颈部放疗的恶性肿瘤患者144例，随机分为观察组（n=72）和对照组（n=72），观察组应用规范化护理评估对病人进行预见性的护理，对照组采取常规护理；比较两组病人放射性损伤副反应。结果 观察组使用规范化护理评估，放射性口腔炎、放射性皮炎、张口困难、放射性食管炎和放射性鼻烟粘膜炎的发生率低于对照组（P<0.05）。结论 头颈部肿瘤患者放疗期间采用规范化护理评估给予相应预见性护理，患者放疗所致毒副反应程度显著降低。

Application of standardized nursing assessment in radiotherapy injury of head and neck cancer

Objective To investigate the effect of standardized nursing assessment on toxic and side effects of radiotherapy in head and neck cancer patients. Methods One hundred and forty-four patients with malignant tumor who underwent head and neck radiotherapy in our oncology department from January 2016 to January 2018 were randomly divided into observation group (72 cases) and control group (72 cases). Predictive care based on standardized nursing assessment was applied to patients in the observation group. Routine care was given in the control group. The adverse reactions of radiation injury were compared between the observation group and the control group. Results The incidence of radioactive stomatitis, radioactive dermatitis, difficulty in opening mouth, radioactive esophagitis and radioactive snuff mucositis in the observation group used standardized nursing assessment was lower than that in the control group (P<0.05). Conclusion Giving the corresponding predictive care based on standardized nursing assessment during the radiotherapy can significantly reduced the adverse effect of radiotherapy in patients with head and neck cancer.