【摘要】 目的探讨下咽癌患者同步放化疗治疗后的护理方案。方法选取2012年1月至2014年1月间术后同步放化疗治疗的74例下咽癌患者,采用随机数字表法分为观察组和对照组,每组37例。观察组开展Orem自理护理模式,对照组给予常规护理,比较两组患者治疗后的并发症发生情况。结果观察组患者中,Ⅱ级放射性皮肤损伤发生率为13.5%,Ⅲ级放射性皮肤损伤发生率为8.1%,口腔溃疡发生率为18.9%,骨髓抑制发生率为13.5%,均显著低于对照组,差异有统计学意义(P<0.05)。结论采用Orem自理护理模式能够显著抑制同步放化疗治疗下咽癌患者的临床并发症的发生,值得临床推广应用。更多还原

【Abstract】 Objective To explore the reasonable nursing plan for the treatment of patients with hypopharyngeal carcinoma with synchronous radiotherapy and chemotherapy. Methods The 74 cases of hypopharyngeal cancer patients treatment with concurrent chemoradiation after the operation in Century Altar Hospital Affiliated to Capital Medical University from January 2012 to January 2014 were selected and randomly divided into observation group and control group,each group contained 37 cases. Patients in observation group were given Orem self care model nursing measures. Patients in control group were given conventional nursing measures. The complications after the treatment of two groups were observed and statistically compared. Results The incidence of level Ⅱ radiation-induced skin damage in the observation group was13. 5%,incidence of level Ⅲ radiation-induced skin damage was 8. 1%,incidence of oral ulcers was18. 9%,incidence of bone marrow suppression was 13. 5%,all significantly lower than those in the control group,with statistical significance( P < 0. 05). Conclusion The implementation of Orem self care mode for the hypopharyngeal cancer patients with concurrent chemoradiation therapy can significantly restrict the complications,with good application value.更多还原