宫颈癌放射性皮肤损伤的标准化护理
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女,本科,主管护师

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江苏省肿瘤医院科研基金项目(ZH201603)


Standardized care of radiationinduced skin injury in cervical cancer patients
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    摘要:

    目的 减轻宫颈癌同期放化疗患者放射性皮肤损伤程度。方法 将434例宫颈癌同期放化疗患者随机分为观察组与对照组各 217例。两组均接受放疗联合同期化疗,对照组按常规进行放射性皮肤损伤防护;观察组根据患者放疗剂量及患者局部情况设计 标准化防护方案、规范评估方法、统一防护操作技术防护流程,进行严格质量控制。结果 观察组放射性皮肤损伤严重程度显著轻 于对照组,会阴部卫生清洁合格率及内裤穿着合格率显著高于对照组(均P<0.01)。结论 标准化防护方案的实施可有效减轻宫 颈癌同期放化疗患者放射性皮肤损伤程度,提高患者卫生防护行为。

    Abstract:

    Objective To reduce the severity of radiationinduced skin injury in cervical cancer patients receiving concurrent radiochemotherapy. Methods A total of 434 cervical cancer patients receiving concurrent radiochemotherapy were randomized into a control group and an observation group, with 217 cases in each group. The control group was subjected to routine preventive care of radiationinduced skin injury, while the observation group was given standardized preventive care including formulating care plan according to radiation dose and local skin conditions of the patient, standardizing assessment methods, unifying preventive procedural techniques and process, and conducting quality control. Results The observation group had milder radiationinduced skin injury and higher qualified rates of perineal hygiene and underwear wearing compared with the control group (P<0.01 for all). Conclusion The implementation of standardized preventive care effectively ameliorates skin damage during radiotherapy in cervical cancer patients receiving concurrent radiochemotherapy, and improves healthy behavior of patients.

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赵茜,朱莺,王湘,孟爱凤,徐德静.宫颈癌放射性皮肤损伤的标准化护理[J].护理学杂志,2019,34(4):30-33

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  • 收稿日期:2018-09-17
  • 最后修改日期:2018-10-25
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  • 在线发布日期: 2022-08-08