集束化护理干预在鼻咽癌患者放射性皮炎防治中的应用

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Abstract Objective To explore the application of cluster nursing intervention in the prevention and treatment of radioactive dermatitis in patients with nasopharyngeal carcinoma. Methods A total of 210 nasopharyngeal carcinoma patients who received the first radical radiotherapy in the Department of Oncology Wuzhou Red Cross Hospital, Guangxi Zhuang Autonomous Region from January 2019 to February 2021 were selected as the study subjects. A random number table was used to divide the patients into observation group and control group. During the study, two patients with poor compliance quit and two patients with disease change were transferred to the department. Finally, 206 patients with nasopharyngeal carcinoma were included as the research objects, including 105 cases in observation group and 101 cases in control group. The control group received routine nursing, and the observation group received evidence-based cluster nursing intervention on the basis of the control group. The incidence and time of dermatitis at all levels, the severity of dermatitis and the time of appearance of skin injury signs were observed and evaluated after radiotherapy. Results There was no significant difference in the incidence of dermatitis between the two groups (P ＞ 0.05). The time of appearance of skin injury signs in the observation group was longer than that in the control group, and the total dermatitis score was lower than that in the control group (P ＜ 0.05). Log-rank test analysis of the two groups showed that the time of grade 2 dermatitis in the observation group was longer than that in the control group (P ＜ 0.05). Conclusion Compared with conventional nursing, cluster nursing intervention can delay the occurrence of radiation dermatitis and reduce the severity of dermatitis.

Key words： Radiation dermatitis Nasopharyngeal carcinoma Radiotherapy Cluster nursing Skin care

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	CHEN Zihong1 ZHONG Qiang2 CHEN Yonghong1 LIAO Ning1 WEI Cui1 LI Dongmei1

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CHEN Zihong1 ZHONG Qiang2 CHEN Yonghong1 LIAO Ning1 WEI Cui1 LI Dongmei1. Application of cluster nursing intervention in the prevention and treatment of radioactive dermatitis in patients with nasopharyngeal carcinoma#br#[J]. 中国医药导报, 2021, 18(34): 172-175,184.

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https://www.yiyaodaobao.com.cn/EN/ OR https://www.yiyaodaobao.com.cn/EN/Y2021/V18/I34/172

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