Tianjin Journal of Nursing ›› 2024, Vol. 32 ›› Issue (6): 645-649.DOI: 10.3969/j.issn.1006-9143.2024.06.004

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Effect of symptom management theory-based nursing care on radiation enteritis in patients with cervical cancer

LIAN Congcong, ZHANG Fang, CHEN Xiaocen, LIU Huiying   

  1. (Tianjin Medical University Cancer Institute and Hospital, Tianjin 300060)
  • Online:2024-12-28 Published:2024-12-16

基于症状管理理论的护理干预对宫颈癌患者放射性肠炎的影响

连聪聪 张芳 陈小岑 刘慧颖   

  1. (天津医科大学肿瘤医院 国家恶性肿瘤临床医学研究中心 天津市“肿瘤防治”重点实验室 天津市恶性肿瘤临床医学研究中心,天津 300060)
  • 基金资助:
    天津市医学重点学科建设项目(TJYXZDXK-011A)

Abstract: Objective: To explore the effect of symptom management theory-based nursing care on the symptoms of radiation enteritis among patients with cervical cancer. Methods: The 43 patients admitted from October to December 2022 and the 43 patients admitted from January to March 2023 were set as the control group and intervention group, respectively. Patients in the control group were given conventional nursing care for cervical cancer radiation enteritis, and patients in the intervention group were given symptom management theory-based nursing care. The frequency of radiotherapy sessions at first onset of diarrhea in both groups was recorded. Patients with radiation enteritis were evaluated at the end of radiotherapy according to the radiation enteritis classification. The quality of life was assessed with quality of life measurement scale at the beginning and the end of radiotherapy. Results: Compared with participants in the control group, participants in the intervention group showed significantly higher frequency of radiotherapy and level of quality of life, lower incidence of grade Ⅱ and above radiation (P<0.05). Conclusion: The symptom management theory-based nursing care can delay the occurrence of radiation enteritis, reduce the severity of radiation enteritis in cervical cancer and improve the quality of life of patients.

Key words: Symptom management, Nursing intervention, Cervical cancer, Radiation enteritis

摘要: 目的:探讨基于症状管理理论的护理干预对宫颈癌放射性肠炎症状的干预效果。 方法:根据患者的入院时间将 2022 年 10 月至 12 月入院的 43 例患者设为对照组,将 2023 年 1 月至 3 月入院的 43 例患者设为干预组。 对照组实施宫颈癌放射性肠炎的常规护理, 干预组实施基于症状管理理论的护理干预。 记录 2 组患者首次出现腹泻时的放疗次数;于放疗结束时根据放射性肠炎分级对放射性肠炎患者进行评估;采用生活质量测定量表分别于放疗开始时、放疗结束时对患者生活质量进行评估。 结果:干预组患者发生腹泻时的放疗次数多于对照组,干预组患者Ⅱ级及以上放射性肠炎发生率低于对照组,生活质量优于对照组,差异均有统计学意义(P<0.05)。 结论:基于症状管理理论的护理干预可以延缓放射性肠炎的发生,降低宫颈癌放射性肠炎的严重程度,提高患者生活质量。 

关键词: 症状管理, 护理干预, 宫颈癌, 放射性肠炎

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