目的 探讨整体护理对放疗所致食管癌患者放射性食管炎的影响.方法 将我科收治的120例食管癌患者,按照随机分组的方法分为对照组和整体护理组,每组各60例,对照组给予常规护理,整体护理组在常规护理的基础上同时给予心理、生理及生活等全面护理,放疗过程中,观察两组患者发生放射性食管炎的例数及严重程度,比较不同护理模式在减轻食管癌患者放射性食管炎的差异.结果 整体护理组患者全部完成规定剂量的放射治疗,对照组中有1例患者因发生严重的反射性食管炎而终止放疗,整体护理组患者严重放射性食管炎(3～4级)的发生率为8.3%,明显低于对照组的21.7%,差异有统计学意义(P = 0.041 < 0.05).结论整体护理能够明显地减轻食管癌患者放射性食管炎的发生.%Objective To investigate the influence of holistic nursing on the radiation esophagitis of patients with radiotherapy induced esophageal cancer. Methods 120 patients with esophageal cancer treated in our department were randomly divided into the control group and the holistic nursing group, with 60 patients in each group respectively. The control group received conventional nursing while the holistic nursing group received comprehensive nursing, such as psychological, physiological and life nursing on the basis of conventional nursing. During the radiotherapy, the number of cases and severity of radiation esophagitis of the two groups were observed in order to compare the differences between different nursing modes in the reduction of radiation esophagitis in patients with esophageal cancer. Results All the patients in the holistic nursing group completed the prescribed dose of radiation therapy. The radiotherapy was terminated for one patient in the control group due to the occurrence of severe reflex esophagitis. The incidence of severe reflex esophagitis (grade 3-4) of the holistic nursing group was 8.3%, which was significantly lower than the 21.7% of the control group, with statistically significant difference (P = 0.041 < 0.05). Conclusion Holistic nursing can significantly reduce the occurrence of radiation esophagitis in patients with esophageal cancer.
展开▼
