摘要
目的探讨康复新液冲洗会阴部联合心理护理对宫颈癌放射治疗患者不良反应、生活质量、睡眠质量及心理状态的影响。方法将2014年10月—2017年10月临沂市人民医院及临沂市第三人民医院收治的接受放射治疗的128例宫颈癌患者随机分为观察组(64例)和对照组(64例),其中观察组患者于放射治疗后依次采用生理盐水及康复新液冲洗会阴部,并与家属配合做好患者的心理护理;对照组患者于放射治疗后单纯采用生理盐水冲洗会阴部。对比观察两组患者的Karnofsky功能状态(KPS)评分、匹兹堡睡眠质量指数(PSQI)评分、焦虑自评量表(SAS)评分、皮肤黏膜损伤及阴道炎等并发症发生情况。结果放射治疗疗程结束后,观察组患者的KPS评分为(78.00±11.37)分、PSQI评分为(7.00±1.12)分、SAS评分为(51.59±5.52)分,对照组患者的KPS评分为(54.33±11.04)分、PSQI评分为(9.70±1.46)分、SAS评分为(63.64±6.82)分,两组患者KPS评分、PSQI评分及SAS评分对比,P均<0.01,差异具有统计学意义;放射治疗30Gy后,观察组患者中出现皮肤及黏膜损伤者4例,对照组患者中出现皮肤及黏膜损伤者32例,两组对比,P<0.01,差异具有统计学意义;放射治疗疗程结束后,观察组患者中出现皮肤及黏膜损伤者14例,对照组患者中出现皮肤及黏膜损伤者54例,两组对比,P<0. 01,差异具有统计学意义;治疗过程中,观察组患者中出现阴道炎、阴道粘连等并发症者15例,对照组患者中出现阴道炎、阴道粘连等并发症者68例(同一患者可出现多种并发症),两组患者阴道炎、阴道粘连等并发症发生情况对比,P均<0.05,差异具有统计学意义。结论康复新液冲洗会阴部联合心理护理可有效减少宫颈癌放射治疗患者皮肤及黏膜的损伤程度,降低阴道炎等并发症的发生率,缓解焦虑情绪,提高生活及睡眠质量,对宫颈癌放射治疗后的恢复具有重要意义。
Objective To explore the effects of perineum douching with kangfuxin solution combined with mental nursing on adverse reactions, quality of life, sleep quality and psychological state of cervical cancer patients receiving radiotherapy. Methods 128 patients with cervical cancer who received radiotherapy in Linyi People’s Hospital and Linyi Third People’s Hospital from October 2014 to October 2017 were randomly divided into observation group(64 cases) and control group( 64 cases). The patients in the observation group were given perineum douching with nonnal saline and kangfuxin solution after radiotherapy, and as well psychological care under the cooperation of their family, while the patients in the control group were simply given perineum douching with normal saline after radiotherapy. The KPS score, PSQI score, SAS score, and the occurrence of complications including skin mucosal injury and vaginitis were observed and compared between the two groups. Results After finishing radiotherapy treatment course in the observation group the KPS score, PSQI score and SAS score were respectively(78. 00 ± 11. 37) points,(7.00±1.12) points and( 51. 59 ± 5. 52) points, which all showed statistically significant differences as compared with(54. 33 ± 11. 04) points.(9. 70 ± 1. 46) points and(63. 64 ±6. 82) points in the control group, all P <0. 01. After 30 Gy of radiotherapy, there were respectively 4 patients and 32 patients in the observation group and in the control group who got skin and mucous damage, between which the comparison was statistically significant( P < 0. 01). After finishing radiotherapy treatment course, 14 patients in the observation group and54 patients in the control group developed skin and mucous damage, between which the comparison was also statistically significant(P <0. 01). During the treatment, 15 patients in the observation group got complications such as vaginitis and vaginal adhesions, and 68 patients in the control group got complications such as vaginitis and vaginal adhesion(multiple complications may occur in one same patient), and the occurrence condition of complications such as vaginitis and vaginal adhesions were compared between the two groups and the results showed statistically significant difference( P < 0. 05). Conclusion In cervical cancer patients undergoing radiotherapy, perineum douching with Kangfuxin solution combined with mental nursing can effectively reduce damage to skin and mucous membrane, reduce the incidence of complications including vaginitis,relieve their anxiety, and improve the quality of life and sleep, with great significance for the recovery of such patients after radiotherapy.
作者
娄长丽
王怀珍
Lou Changli;Wang Huaizhen(Department of Gynaecology and Obstetrics,Linyi People's Hospital,Linyi City,Shandong 276000,China;Department of Gynaecology and Obstetrics of Linyi Third People's Hospital,Linyi City,Shandong 276023,China)
出处
《中国烧伤创疡杂志》
2018年第6期425-430,共6页
The Chinese Journal of Burns Wounds & Surface Ulcers
关键词
康复新液
心理护理
宫颈癌
放射治疗
生活质量
睡眠质量
焦虑
Kangfuxin solution
Mental nursing
Cervical cancer
Radiotherapy
Quality of life
Sleep quality
Anxiety
作者简介
通讯作者:王怀珍,Email:wuxia5182@126.com
