摘要
目的探究食管癌放疗所致放射性口腔黏膜炎患者采取预见性护理联合疼痛管理的应用效果。方法选取2021年4月至2023年4月河南科技大学第一附属医院收治的86例食管癌放疗所致放射性口腔黏膜炎患者,按照随机数字表法将其分为对照组(采取常规护理)和观察组(在常规护理的基础上采取预见性护理联合疼痛管理),各43例。比较两组口腔疼痛缓解时间、溃疡愈合时间、口腔状况及疼痛评分、免疫功能指标、心理状况及护理满意度。结果观察组口腔疼痛缓解时间、溃疡愈合时间短于对照组,差异有统计学意义(P<0.05)。放疗当天,两组口腔评估指南评分(OAG)均有所提高,但观察组低于对照组,护理后,两组疼痛视觉模拟评分(VAS)均有所降低,且观察组低于对照组,观察组放疗14 d后每日口腔黏膜评估问卷(OMDQ)评分低于对照组,差异有统计学意义(P<0.05)。护理后观察组CD3^(+)、CD4^(+)水平明显高于对照组,CD8^(+)明显低于对照组,差异有统计学意义(P<0.05)。护理后,观察组焦虑自评量表(SAS)和抑郁自评量表(SDS)均低于对照组,差异有统计学意义(P<0.05),而护理满意度高于对照组,差异有统计学意义(P<0.05)。结论食管癌放疗所致放射性口腔黏膜炎患者采取预见性护理联合疼痛管理可有效缓解口腔疼痛程度,促进溃疡愈合,提高免疫功能,改善心理状况,提高患者对护理的满意度。
Objective To explore the application effect of predictive nursing combined with pain management in patients with radiation-induced oral mucositis caused by esophageal cancer radiotherapy.Methods A total of 86 patients with radiation-induced oral mucositis caused by esophageal cancer radiotherapy,admitted to The First Affiliated Hospital of Henan University of Science and Technology from April 2021 to April 2023,were selected and randomly divided into a control group(receiving routine nursing)and an observation group(receiving predictive nursing combined with pain management)with 43 cases in each group.The oral pain relief time,ulcer healing time,oral condition and pain scores,immune function indicators,psychological status,and nursing satisfaction were compared between the two groups.Results The oral pain relief time and ulcer healing time in the observation group were shorter than those in the control group,with statistically significant differences(P<0.05).On the day of radiotherapy,the Oral Assessment Guide(OAG)scores of both groups increased,but the observation group had lower scores than the control group.After nursing,the Visual Analog Scale(VAS)scores of both groups decreased,and the observation group had lower scores than the control group.Fourteen days after radiotherapy,the Oral Mucositis Daily Questionnaire(OMDQ)scores of the observation group were lower than those of the control group,with statistically significant differences(P<0.05).After nursing,the levels of CD3^(+)and CD4^(+)in the observation group were significantly higher than those in the control group,while the level of CD8^(+)was significantly lower than that in the control group,with statistically significant differences(P<0.05).After nursing,the Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS)scores of the observation group were lower than those of the control group,with statistically significant differences(P<0.05),while the nursing satisfaction was higher than that of the control group,with statistically significant differences(P<0.05).Conclusion Predictive nursing combined with pain management can effectively alleviate oral pain,promote ulcer healing,improve immune function,enhance psychological status,and increase nursing satisfaction in patients with radiation-induced oral mucositis caused by esophageal cancer radiotherapy.
作者
梁辉
LIANG Hui(Department of Radiotherapy,The First Affiliated Hospital of Henan University of Science and Technology,Luoyang Henan 471000,China)
出处
《临床研究》
2024年第9期184-187,共4页
Clinical Research
关键词
预见性护理
疼痛管理
食管癌
放疗
放射性口腔黏膜炎
predictive nursing
pain management
esophageal cancer
radiotherapy
radiation-induced oral mucositis
