摘要
目的探讨基于医护一体化的疼痛护理干预对放射性口腔黏膜炎患者生存质量及营养状态的影响。方法将100例鼻咽癌放疗患者分为观察组和对照组各50例,对照组实施常规护理,观察组给予医护一体化管理模式下的疼痛护理干预。比较两组患者放射性口腔黏膜炎及放射性口腔疼痛发生程度、营养状况及生存质量评分。结果观察组患者放射性口腔黏膜炎、放射性口腔疼痛发生程度显著轻于对照组(均P<0.01),营养风险评分显著低于对照组,生存质量评分显著优于对照组(均P<0.01)。结论医护一体化疼痛管理模式可降低鼻咽癌放疗患者放射性口腔黏膜炎及放射性口腔疼痛的发生程度,改善营养状况及生活质量。
Objective To evaluate the effect of doctor-nurse collaborative pain control strategies on nutritional status and quality of life in patients with radiation-induced oral mucositis.Methods One hundred patients with nasopharyngeal carcinoma undergoing radiation therapy were randomly divided into a control group（n=50）and an observation group（n=50）receiving either conventional nursing care or doctor-nurse collaborative interventions on pain control.The incidence of radiation-induced oral mucositis,severity of mucositis pain,nutritional status and quality of life were compared between the two groups.Results The observation group had lower incidence of oral mucositis and milder pain from mucositis compared to the control group（P〈0.01 for both）.The nutritional risk score was significantly lower,whereas quality of life was significantly higher in the observation group than the control group（P〈0.01 for all）.Conclusion Doctor-nurse collaborative pain control interventions can reduce radiation-induced oral mucositis in nasopharyngeal carcinoma patients undergoing radiotherapy,relieve pain from mucositis,and improve their nutritional status and quality of life.
基金
广西壮族自治区卫生厅自筹经费科研课题(Z 2012122)
关键词
放射性口咽炎
放疗
疼痛
医护一体化
营养状况
生活质量
radiation-induced oral mucositis
radiotherapy
pain
doctor-nurse collaboration
nutritional status
quality of life
