綜合護理對胸部腫瘤放療所致放射性肺炎的干預效果

【摘要】 目的 觀察分析胸部腫瘤放療所致放射性肺炎采取綜合干預護理的臨床效果。方法 以2019年8月- 2021年10月到醫院就診的放射性肺炎患者為研究對象，選擇其中接受臨床綜合干預護理方案的42例患者作為觀察組，在組間性別、年齡、病程、基礎病等基線資料均衡可比的原則上，另外選擇接受常規護理方案的42例患者作為對照組。觀察兩組患者護理滿意度、情緒狀態、生活質量等指標。結果 綜合干預護理實施前，兩組患者漢密爾頓焦慮量表（HAMA）與漢密爾頓抑郁量表（HAMD）評分比較，差異無統計學意義（P>0.05）；護理干預后，兩組患者HAMA、HAMD評分均降低，但觀察組低于對照組，差異有統計學意義（P<0.05）。觀察組患者的護理滿意度為95.2%（40/42），高于對照組的73.8%（31/42），差異有統計學意義（P<0.05）；觀察組在心理功能、軀體功能、社會關系、自理能力等方面評分均明顯優于對照組，差異有統計學意義（P<0.05）。結論 放射性肺炎患者采取臨床綜合干預護理后，患者的各項相關評價指標較對照組明顯改善，可以有效改善患者的消極情緒，提升生活質量。

【關鍵詞】 放射性肺炎；綜合干預；健康宣教；對照分析

中圖分類號 R730.55 文獻標識碼 A 文章編號 1671-0223（2024）19--04

Intervention effect of comprehensive nursing on radiation-induced pneumonia ca8dd6275ba41e025c549358667f4f02a0c0dad7a11c7ebeb793f5f74d8282dd75used by chest tumor radiotherapy Chen Yulan， Guan Yun. Department of Radiotherapy， Nantong Cancer Hospital， Nantong 226361， China

【Abstract】 Objective To observe and analyze the clinical effect of comprehensive intervention nursing for radiation-induced pneumonia caused by chest tumor radiotherapy. Methods A total of 42 patients with radiation pneumonitis who visited the hospital from August 2019 to October 2021 were selected as the observation group， and 42 patients who received a comprehensive clinical intervention nursing plan were selected as the control group. Based on the principle of balanced and comparable baseline data such as gender， age， disease duration， and underlying diseases between the groups， an additional 42 patients who received a routine nursing plan were selected as the control group. Observe indicators such as nursing satisfaction， emotional state， and quality of life for two groups of patients. Results Before the implementation of comprehensive intervention nursing， there was no statistically significant difference in the Hamilton anxiety scale （HAMA） and Hamilton depression scale （HAMD） scores between the two groups of patients （P>0.05）; After nursing intervention， the HAMA and HAMD scores of both groups of patients decreased， but the observation group was lower than the control group， and the difference was statistically significant （P<0.05）. The nursing satisfaction rate of the observation group patients was 95.2% （40/42）， which was higher than the 73.8% （31/42） of the control group， and the difference was statistically significant （P<0.05）; The observation group scored significantly better than the control group in terms of psychological function， physical function， social relationships， and self-care ability， and the difference was statistically significant （P<0.05）. Conclusion After comprehensive clinical intervention nursing for patients with radiation pneumonia， their various related evaluation indicators were significantly improved compared to the control group， which can effectively improve their negative emotions and enhance their quality of life.

【Key words】 Radiation pneumonitis; Comprehensive intervention; Health education; Comparative analysis

放射性肺炎是胸部腫瘤實施放射治療后發生的一種并發癥。分析其原因，考慮與正常肺組織遭受放射損傷誘發關系密切；病情輕微的患者可自行恢復，若病情比較嚴重，則可能出現肺部纖維化，甚至呼吸衰竭、肺心病等，嚴重影響患者正常學習、工作以及生活[1-2]。故此，早期發現、早期診斷放射性肺炎，以及開展有效護理干預措施十分重要[3-5]?！?br>