标准化皮肤护理干预对乳腺癌放疗后皮肤损害修复的影响(1)
[摘要] 目的 将标准化皮肤干预用于乳腺癌放疗后皮肤损害患者中，评价其对修复患者皮肤损害的影响。 方法 对2015年1月～2017年3月我院收治的198例乳腺癌放疗患者分组研究，B组行常规护理干预，A组行标准化皮肤护理，对两组护理结果进行评价。 结果 A组患者护理后皮肤损害程度多分布在0～1级，B组多为2～3级，A组护理后皮肤损害程度与B组相比，差异有统计学意义(P<0.05)；两组护理前生存质量评分差异不明显(P>0.05)，A组护理后生存质量评分与B组相比，差异有统计学意义(P<0.05)；A组护理满意度为92.93%，与B组81.82%相比，差异有统计学意义(P<0.05)。 结论 标准化皮肤护理干预用于乳腺癌放疗患者中效果显著，可减轻患者放疗后皮肤损害程度，提升生存质量，值得临床应用。
[关键词] 标准化皮肤护理干预；乳腺癌；放疗；皮肤损害；修复
[中图分类号] R473.73 [文献标识码] B [文章编号] 1673-9701(2018)30-0156-03
[Abstract] Objective To apply the standardized skin intervention in the patients with skin damage after breast cancer radiotherapy， and to evaluate its effect on the repair of skin damage. Methods 198 patients undergoing breast cancer radiotherapy who were admitted to our hospital from January 2015 to March 2017 were assigned to groups for study. Group B was given routine nursing intervention， and group A was given standardized skin nursing care. The nursing results were evaluated for both groups. Results The degree of skin damage after nursing in group A was mostly distributed in grades 0～1， and group B was mostly in grades 2～3. The degree of skin damage after nursing in group A was compared with that in group B， and the difference was statistically significant(P<0.05)； there was no significant difference in the quality of life scores before nursing between the two groups(P>0.05). The quality of life scores in group A after nursing were compared with that in group B， and the difference was statistically significant(P<0.05)； the satisfaction degree in group A was 92.93%， and compared with that of 81.82% in the control group， the difference was statistically significant(P<0.05). Conclusion Standardized skin care intervention has a significant effect in the patients receiving breast cancer radiotherapy， which can reduce the degree of skin damage after radiotherapy and improve the quality of life. It is worthy of clinical application.
[Key words] Standardized skin care intervention；Breast cancer；Chemotherapy；Skin damage；Repair
乳腺癌为女性常见的一种恶性肿瘤，多见于未生育、生育较晚的女性[1-2]。临床对乳腺癌病因并不完全清楚，其在我国相关性死亡病因中占第2位，对女性身心健康造成严重影响，需及时采取相关措施治疗。目前临床对乳腺癌患者多采用化疗治疗，可有效控制疾病，但放疗后患者会出现一系列不良反应，其中皮肤反应通常最先出现[3]。有效预防皮肤反应、及时采取相关措施干预是提升放疗效果的关键。为提升放疗效果，减轻患者皮肤不良反应，本研究将标准化皮肤护理干预用于我院行放疗的乳腺癌患者中，旨在观察其对修复皮肤损害的影响，现报道见下。
1资料与方法
1.1 一般资料
收集2015年1月～2017年3月我院收治的乳腺癌放疗患者198例，以单盲法将198例患者分为A组(n=99)与B组(n=99)。A组年龄29～61岁，平均(46.71±5.97)岁，病程4个月～2.5年，平均(1.51±0.34)年，分型：浸润癌59例，非浸润癌40例。B组年龄28～62岁，平均(46.68±5.95)岁，病程5个月～2.5年，平均(1.53±0.36)年，分型：浸潤癌61例，非浸润癌38例。两组一般资料比较，差异无统计学意义(P>0.05)。, 百拇医药(柯丽莲 郑丽雅 陈凌群)
[关键词] 标准化皮肤护理干预；乳腺癌；放疗；皮肤损害；修复
[中图分类号] R473.73 [文献标识码] B [文章编号] 1673-9701(2018)30-0156-03
[Abstract] Objective To apply the standardized skin intervention in the patients with skin damage after breast cancer radiotherapy， and to evaluate its effect on the repair of skin damage. Methods 198 patients undergoing breast cancer radiotherapy who were admitted to our hospital from January 2015 to March 2017 were assigned to groups for study. Group B was given routine nursing intervention， and group A was given standardized skin nursing care. The nursing results were evaluated for both groups. Results The degree of skin damage after nursing in group A was mostly distributed in grades 0～1， and group B was mostly in grades 2～3. The degree of skin damage after nursing in group A was compared with that in group B， and the difference was statistically significant(P<0.05)； there was no significant difference in the quality of life scores before nursing between the two groups(P>0.05). The quality of life scores in group A after nursing were compared with that in group B， and the difference was statistically significant(P<0.05)； the satisfaction degree in group A was 92.93%， and compared with that of 81.82% in the control group， the difference was statistically significant(P<0.05). Conclusion Standardized skin care intervention has a significant effect in the patients receiving breast cancer radiotherapy， which can reduce the degree of skin damage after radiotherapy and improve the quality of life. It is worthy of clinical application.
[Key words] Standardized skin care intervention；Breast cancer；Chemotherapy；Skin damage；Repair
乳腺癌为女性常见的一种恶性肿瘤，多见于未生育、生育较晚的女性[1-2]。临床对乳腺癌病因并不完全清楚，其在我国相关性死亡病因中占第2位，对女性身心健康造成严重影响，需及时采取相关措施治疗。目前临床对乳腺癌患者多采用化疗治疗，可有效控制疾病，但放疗后患者会出现一系列不良反应，其中皮肤反应通常最先出现[3]。有效预防皮肤反应、及时采取相关措施干预是提升放疗效果的关键。为提升放疗效果，减轻患者皮肤不良反应，本研究将标准化皮肤护理干预用于我院行放疗的乳腺癌患者中，旨在观察其对修复皮肤损害的影响，现报道见下。
1资料与方法
1.1 一般资料
收集2015年1月～2017年3月我院收治的乳腺癌放疗患者198例，以单盲法将198例患者分为A组(n=99)与B组(n=99)。A组年龄29～61岁，平均(46.71±5.97)岁，病程4个月～2.5年，平均(1.51±0.34)年，分型：浸润癌59例，非浸润癌40例。B组年龄28～62岁，平均(46.68±5.95)岁，病程5个月～2.5年，平均(1.53±0.36)年，分型：浸潤癌61例，非浸润癌38例。两组一般资料比较，差异无统计学意义(P>0.05)。, 百拇医药(柯丽莲 郑丽雅 陈凌群)