中国口腔颌面外科杂志

中国口腔颌面外科杂志 ›› 2023, Vol. 21 ›› Issue (5): 491-496.doi: 10.19438/j.cjoms.2023.05.011

• 论著 • 上一篇    下一篇

饮食护理及心理干预在鼻咽癌放化疗后致口腔黏膜破溃患者中的应用

汤丰榕1,2, 王鹏1,2, 张艳3   

  1. 1.复旦大学附属中山医院厦门医院 耳鼻喉科,福建 厦门 361015;
    2.厦门市恶性肿瘤综合治疗临床医学研究中心,福建 厦门 361015;
    3.复旦大学附属中山医院 口腔科,上海 200032
  • 收稿日期:2022-02-08 修回日期:2023-04-17 出版日期:2023-09-20 发布日期:2023-10-11
  • 通讯作者: 张艳,E-mail: zhangyan0088@sina.cn
  • 作者简介:汤丰榕（1981-）,女,本科,主管护师、国家二级心理咨询师,E-mail: tang.fengrong@zsxmhospital.com

Application of dietary nursing and psychological intervention in patients with oral mucosal ulceration after radiotherapy and chemotherapy for nasopharyngeal carcinoma

TANG Feng-rong1,2, WANG Peng1,2, ZHANG Yan3   

  1. 1. Department of Otolaryngology, Zhongshan Hospital, Fudan University(Xiamen Branch). Xiamen 361015, Fujian Province;
    2. Xiamen Clinical Medical Research Center for Comprehensive Treatment of Malignant Tumors. Xiamen 361015, Fujian Province;
    3. Department of Stomatology, Zhongshan Hospital, Fudan University. Shanghai 200032, China
  • Received:2022-02-08 Revised:2023-04-17 Online:2023-09-20 Published:2023-10-11

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摘要： 目的：探讨饮食护理及心理干预在鼻咽癌放化疗后致口腔黏膜破溃患者中的应用效果。方法：选择2019年4月—2022年7月在复旦大学附属中山医院厦门医院放化疗的鼻咽癌患者120例作为研究对象,采用非概率性抽样中的方便抽样,分为对照组和干预组,每组各60例。对照组实施常规护理,干预组通过饮食和心理干预,对患者实施“一对一”教育。比较2组患者口腔黏膜损伤程度、体重指标、生活质量评分、焦虑评分。采用SPSS 26.0软件包对数据进行统计学分析。结果：干预组发生口腔黏膜损伤程度显著低于对照组（P<0.05）;干预组6个月后体重、生活质量显著高于对照组,焦虑状况显著低于对照组（P<0.05）。结论：对鼻咽癌放化疗后致口腔黏膜破溃患者通过饮食护理,可有效改善营养状况,提高生活质量。通过心理干预,引导患者正确面对疾病,纾缓情绪,可有效提高心理健康水平。

关键词: 饮食护理, 心理干预, 鼻咽癌, 放化疗, 口腔黏膜破溃

Abstract: PURPOSE: To investigate the application of dietary nursing and psychological intervention in patients with oral mucosal ulceration after radiotherapy and chemotherapy for nasopharyngeal carcinoma. METHODS: A total of 120 patients with nasopharyngeal carcinoma undergoing chemoradiotherapy in Zhongshan Hospital, Fudan University(Xiamen Branch) from April 2019 to July 2022 were selected. The patients were divided into control group and intervention group by convenient sampling in non-probabilistic sampling method with 60 cases in each group. The control group was given routine care, and the intervention group administered "one-on-one" education to patients through diet and psychological interventions. The degree of oral mucosal damage, weight index, quality of life score and anxiety score of the 2 groups were compared. SPSS 26.0 software package was used for data analysis. RESULTS: The degree of oral mucosal injury in the intervention group was significantly lower than that in the control group (P<0.05). After 6 months, the weight, quality of life in the intervention group were significantly higher than those in the control group, and the anxiety status in the intervention group was significantly lower than that in the control group(P<0.05). CONCLUSIONS: Dietary care can effectively improve the nutritional status and quality of life of patients with oral mucosal rupture caused by radiotherapy and/or chemotherapy for nasopharyngeal carcinoma. Through psychological intervention, guiding patients to face the disease correctly and relieve their emotions can effectively improve their psychological health.

Key words: Diet nursing, Psychological intervention, Nasopharyngeal cancer, Radio- and chemotherapy, Oral mucosa ulceration

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