摘要
目的探讨实施品管圈活动对头颈部肿瘤患者放疗后放射性皮炎的干预效果,探索有效的解决途径。方法以入院病例号为编号,根据随机数字表,将2013年10月—2015年10月入科治疗的160例头颈部肿瘤放疗患者随机分成2组,每组80例。对照组放疗后按照常规护理方法护理;观察组患者放疗后按照品管圈活动进行护理。比较护理后患者放射性皮炎的发生情况。采用SPSS 17.0统计软件进行统计分析,P<0.05为差异有统计学意义。结果观察组0度皮炎人数为34例(42.5%),高于对照组的22例(27.5%);中断放疗的人数为4例(5.0%),低于对照组的13例(16.3%),差异有统计学意义(P<0.05);放射性皮肤反应的时间为(10.4±2.3)d,显著长于对照组的(6.5±1.5)d,差异有统计学意义(P<0.05);观察组患者满意度为97.5%(78/80),显著高于对照组的80.0%(64/80),差异有统计学意义(P<0.05)。结论实施品管圈活动进行头颈部肿瘤放疗患者护理可有效降低放射性皮炎的发生几率,改善患者放疗后生活质量。
Objective To investigate the intervention effect of quality control circle activity for radiation dermatitis on pa- tients with head and neck cancer after radiotherapy, and explore a possible solution. Methods A Total of 160 patients with head and neck cancer in our hospital from October ,2013 to October ,2015 were randomly divided into two groups with 80 cases in each group. After the radiotherapy, the control group was treated according to the conventional nursing meth- od, while the observation group was treated with the care of the quality control circle activities. We compared the occur- rence of radiation dermatitis in patients after nursing care. The statistical analysis was carried out by SPSS 17.0 software, P 〈 0.05 indicating statistical significance. Results The number of 0 degree dermatitis in observation group was 34 cases （42.5%） ,higher than that of the control group of 22 cases（27.5% ） ;the number of interruption of radiotherapy was 4 cases （5%） ,lower than the control group 13 cases （ 16.3% ） ;longer radioactive skin reaction time （ 10.4±2.3 ） days than the control group （ 6.5±1.5 ） days, and the difference was statistically significant （ P 〈 0.05 ） ; patient satisfaction of the observation group was 97.5% （78/80） higher than that of the control group, 80% （64/80）, and the difference was statistically significant （ P 〈 0.05 ）. Conclusion The implementation of quality control circle activities in nursing head and neck cancer radiotherapy patients can effectively reduce the incidence of radiation dermatitis, improving the quality of life of patients after radiotherapy.
出处
《中华全科医学》
2017年第5期896-898,共3页
Chinese Journal of General Practice
关键词
头颈部肿瘤
放疗
放射性皮炎
品管圈活动
Head and neck cancer
Radiotherapy
Radiation dermatitis
Quality control circle activity
