Application of group health education in discharge guidance for patients with nasopharyngeal carcinoma after radiotherapy
10.3760/cma.j.issn.1674-2907.2013.04.016
- VernacularTitle:团体健康教育在鼻咽癌患者放疗后出院指导中的应用
- Author:
Shi-Bi ZHANG
1
;
Qing YANG
;
Qing-Hua JIANG
;
Hong-Fang BAI
;
Wan-Qin ZENG
Author Information
1. 四川省肿瘤医院放疗五病区
- Keywords:
Nasopharyngeal carcinoma;
Radiotherapy;
Complication;
Discharge guidance;
Group health education
- From:
Chinese Journal of Modern Nursing
2013;19(4):416-418
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the effect of group health education for nasopharyngeal carcinoma patients who received radiotherapy.Methods Eighty cases of previously untreated patients with nasopharyngeal carcinoma who accepted radical radiotherapy from June 2009 to June 2010 were chosen as the control group,and 80 cases with the same conditions through June 2010 to June 2011 were chosen as the experimental group.The control group and experimental group were given oral health education and group health education respectively.The incidence of radiotherapy-related complications in patients who accepted two different methods of discharge guidance were compared.Results The improvement of patient compliance to rehabilitation guidance including regular reexamination,gargling,nasopharyngeal washing,mouth opening excise and neck excise was better in the experimental group than in the control group (85％ vs 68％,97％ vs 88％,99％ vs 70％,100％ vs 72％ and 95％ vs 60％),and the differences were statistically significant (X2 =6.892,5.766,25.079,25.507,12.822,respec.tively; P ＜ 0.05).The decreases in rate of complications including difficulty in mouth opening,neck movement restriction,sinusitis,otitis media and nasal bleeding were also better in the experimental group than in the control group (1.2％ vs 15.0％,1.2％ vs 5.0％,3.8％ vs 23.0％,1.2％ vs 12.0％ and 2.5％ vs 17.0％),and the differences were statistically significant (x2 ＝ 11.568,11.568,12.333,7.907,10.000,respectively; P ＜ 0.05).Conclusions Group health education can better meet the rehabilitation needs of patients with nasopharyngeal carcinoma,strengthen their subjective awareness of persisting in rehabilitation functional exercise,improve patient' s compliance and reduce the incidence of complications,so as to promote their rehabilitation and improve their life quality.
