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1、探討飲食護理干預(yù)對頭頸部癌放療期間的影響湖南省腫瘤醫(yī)院中南大學(xué)湘雅醫(yī)學(xué)院附屬腫瘤醫(yī)院湖南長沙410006【摘要】目的探討飲食護理干預(yù)對頭頸部腫瘤患者放療期間營養(yǎng)狀況的影響。方法選取2014年7月?2016年1月于我院就診的頭頸部腫瘤患者共90例作為此次研究的對象,把90例患者隨機分成對照組和觀察組,兩組各有45例。對照組采用常規(guī)護理方法,觀察組在對照組基礎(chǔ)上進行飲食護理干預(yù),觀察兩組營養(yǎng)狀況及護理前后體質(zhì)量變化情況。結(jié)果兩組護理前體質(zhì)量比較差異無統(tǒng)計學(xué)意義(P〉0.05),觀察組護理后體質(zhì)量(67.4±4.3)kg高于對照組體質(zhì)量(58.3±2.9)k
2、g,差異有統(tǒng)計學(xué)意義(P<0.05)。觀察組患者顯效32例(71.1%),有效10例(22.2%),無效3例(6.7%),對照組患者顯效15例(33.3%),有效18例(40.0%),無效12例(26.7%),觀察組有效率為93.3%高于對照組的73.3%,差異有統(tǒng)計學(xué)意義(P<0.01)。結(jié)論在常規(guī)放療護理的基礎(chǔ)上,采用飲食護理干預(yù)可有效的改善頭頸部腫瘤患者放療期間的營養(yǎng)狀況,對于患者的臨床治療只有重要的意義?!娟P(guān)鍵詞】頭頸部腫瘤;放療;飲食護理干預(yù);營養(yǎng)狀況[Abstract]ObjectiveToinvestigatetheeffectofdietnursinginterv
3、entiononnutritionalstatusofpatientswithheadandneckcancerduringradiotherapy.Methods90casesofheadandneckcancerpatientsinourhospitalfromJanuary2016toJuly2014wereselectedasthesubjectsofthisstudy,90patientswererandomlydividedintocontrolgroupandobservationgroup,twocasesineachgroup,45casesineachgrou
4、p.Controlgroupusingconventionalnursingmethods,theobservationgroupinthecontrolgrouponthebasisofdietnursingintervention,observationoftwogroupsofnutritionalstatusandthequalityofnursingbeforeandafterthechanges.Resultstwogroupsofnursingofbodyweightdifferencenostatisticalsignificance(P>0.05),obs
5、ervationgroupnursingafterbodyquality(67.4+4.3)kghigherthanthatofthecontrolgroup,bodymass(58.3+2.9)kg,thedifferenceisstatisticallysignificant(P<0.05).Intheobservationgroup32cases(71.1%),effectin10cases(22.2%),ineffectivein3cases(6.7%)andthecontrolgrouppatients,markedlyeffectivein15cases(33.
6、3%),effectivein18cases(40.0%),invalidin12cases(26.7%),theobservationgroup,theeffectiveratewas93.3%higherthanthatof73.3%inthecontrolgroup,thedifferenceisstatisticallysignificant(P<0.01).Conclusiononthebasisofconventionalradiotherapy,dietnursinginterventioncaneffectivelyimprovethenutritional
7、statusofpatientswithheadandneckcancerduringradiotherapy,whichhasimportantsignificancefortheclinicaltreatmentofpatientswithcancer.[Keywords]:headandneckneoplasms;radiotherapy;dietnursingintervention;nutritionalstatus頭頸部腫瘤是指除顱腦以外的頭、頸部發(fā)生的腫瘤,包括眼、