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目的探讨系统护理干预对预防中晚期食管癌适形放疗患者并发症的效果。方法选取2013年8月至2015年6月间陕西省汉中中航工业三二〇一医院收治的100例中晚期食管癌患者,均接受三维适形放疗治疗,根据随机数字表法分为观察组和对照组,每组各50例。观察组患者在常规护理基础上接受系统护理干预,对照组患者仅接受常规护理。观察和比较两组患者的近期疗效、并发症和护理满意度。结果与对照组相比,观察组患者总有效率明显增高(P<0.05);观察组患者放射性皮炎、放射性食管炎、放射性气管炎、骨髓抑制等并发症发生率均显著降低(均P<0.05);观察组患者对护理服务满意度明显提升,差异有统计学意义(P<0.05)。结论系统性护理干预能够明显减少中晚期食管癌患者三维适形放疗的并发症,提高临床疗效及护理服务满意度,值得临床推广。
Objective To investigate the effect of systematic nursing intervention on the prevention of complications in patients with advanced esophageal cancer treated by conformal radiotherapy. Methods From January 2013 to June 2015, 100 patients with advanced esophageal cancer who were treated at the Central Hospital of Hanzhong, Hanzhong, Shaanxi Province from August 2013 to June 2015 were all treated with three-dimensional conformal radiotherapy. According to the random number table, they were divided into observation group and control group Control group, each group of 50 cases. Patients in observation group received systematic nursing intervention on the basis of routine nursing, while patients in control group received routine nursing only. The short-term effects, complications and nursing satisfaction were observed and compared between the two groups. Results Compared with the control group, the total effective rate in the observation group was significantly increased (P <0.05). The incidences of radiation dermatitis, radiation esophagitis, radiation bronchitis and bone marrow suppression in the observation group were significantly decreased (all P <0.05 ). Satisfaction of patients in observation group was significantly improved to nursing service, the difference was statistically significant (P <0.05). Conclusion Systemic nursing intervention can significantly reduce the complications of three-dimensional conformal radiotherapy in patients with advanced esophageal cancer, improve clinical efficacy and satisfaction with nursing services, and is worthy of clinical promotion.