刘婷, 刘晓艳, 颜红炜, 夏立新. 不同护理干预对鼻咽喉癌病人颈部皮肤损伤及情绪的影响[J]. 蚌埠医学院学报, 2020, 45(2): 275-277, 281. DOI: 10.13898/j.cnki.issn.1000-2200.2020.02.038
    引用本文: 刘婷, 刘晓艳, 颜红炜, 夏立新. 不同护理干预对鼻咽喉癌病人颈部皮肤损伤及情绪的影响[J]. 蚌埠医学院学报, 2020, 45(2): 275-277, 281. DOI: 10.13898/j.cnki.issn.1000-2200.2020.02.038
    LIU Ting, LIU Xiao-yan, YAN Hong-wei, XIA Li-xin. Effect of different nursing interventions on neck skin damage and emotion of patients with nasopharyngeal carcinoma[J]. Journal of Bengbu Medical College, 2020, 45(2): 275-277, 281. DOI: 10.13898/j.cnki.issn.1000-2200.2020.02.038
    Citation: LIU Ting, LIU Xiao-yan, YAN Hong-wei, XIA Li-xin. Effect of different nursing interventions on neck skin damage and emotion of patients with nasopharyngeal carcinoma[J]. Journal of Bengbu Medical College, 2020, 45(2): 275-277, 281. DOI: 10.13898/j.cnki.issn.1000-2200.2020.02.038

    不同护理干预对鼻咽喉癌病人颈部皮肤损伤及情绪的影响

    Effect of different nursing interventions on neck skin damage and emotion of patients with nasopharyngeal carcinoma

    • 摘要:
      目的探讨新型软聚硅酮泡沫敷料美皮康和康复新液对接受放射治疗鼻咽喉癌病人颈部皮肤损伤的防护作用及其对病人情绪的影响。
      方法选取接受放射治疗鼻咽癌病人54例为研究对象,采用随机数字表法将病人分为对照组(康复新液组)和观察组(美皮康组),各27例,于放射治疗2 d前给予对照组康复新液、观察组美皮康护理干预,比较2组病人颈部皮肤损伤程度、创面愈合时间、愈合创面比例和干预前后的SDS评分、SAS评分。
      结果2组病人颈部皮肤损伤情况差异有统计学意义(P < 0.05);观察组颈部皮肤创面愈合时间明显少于对照组(P < 0.01),愈合创面比例明显高于对照组(P < 0.01)。干预前,2组病人SAS、SDS评分差异均无统计学意义;干预后,2组SAS、SDS评分均较干预前降低(P < 0.05),且观察组SAS、SDS评分均低于对照组(P < 0.05)。
      结论新型软聚硅酮泡沫敷料美皮康能明显减轻鼻咽喉癌放射治疗所致的颈部皮肤损伤程度、缩短创面愈合时间,同时可缓解病人的焦虑、抑郁情绪,值得临床推广使用。

       

      Abstract:
      ObjectiveTo investigate the protective effects of new soft silicone foam dressing Mepilex Lite and Kangfuxin solution on neck skin injury and its effects on emotion in nasopharyngeal carcinoma(NPC) patients treated with radiotherapy.
      MethodsFifty-four NPC patients treated with radiotherapy were randomly divided into the control group(Mepilex group) and observation group(Kangfuxin group) (27 cases in each group).The control group and observation group were nursed with Kangfuxin solution and Mepilex Lite after 2 d of radiotherapy.The degree of neck skin injury, wound healing time, wound healing proportion, SDS score and SAS score before and after intervention were compared between two groups.
      ResultsThere was statistical significance in the skin injury between two groups(P < 0.05).The healing time and rate of skin wound in observation group were significantly less and higher than those in control group, respectively(P < 0.01).Before intervention, the differences of the scores of SAS and SDS between two groups were not statistically significant(P>0.05).After intervention, the scores of SAS and SDS in two groups decreased compared with before inervention(P < 0.05), and the scores of SAS and SDS in observation group were lower than those in control group(P < 0.05).
      ConclusionsThe application of Mepilex Lite can significantly reduce the degree of neck skin injury caused by radiotherapy for nasopharyngeal carcinoma, shorten the healing time of wound surface, and relieve the anxiety and depression of patients, which is worthy of clinical promotion.

       

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