Effect of bundled nursing on recurrent obstructive esophageal cancer treated by photodynamic therapy
- VernacularTitle:集束化护理在光动力治疗复发性梗阻性食管癌中的应用效果
- Author:
Shuhong GAO
1
;
Zhengfang WANG
;
Liwen YAO
;
Xingxiang LIU
;
Lin CUI
Author Information
- Keywords: esophageal malignant neoplasm; photodynamic therapy; bundled nursing
- From: Journal of Clinical Medicine in Practice 2025;29(2):129-132
- CountryChina
- Language:Chinese
- Abstract: Objective To explore the application of bundled nursing care for recurrent obstruc-tive esophageal cancer treated by photodynamic therapy.Methods Thirty patients with recurrent ob-structive esophageal cancer were administered with photosensitizer hematoporphyrin derivative injec-tion.After 24 hours,an optical fiber was introduced under endoscopic guidance,and 630 nm laser was used to irradiate the tumor locally.The degree of relief in dysphagia,improvement in perform-ance status,changes in body mass index,and treatment-related adverse reactions were recorded.Bundled nursing strategies were implemented,including preoperative assessment,education,prepara-tion,postoperative positioning,observation,prevention of complications,and light protection meas-ures.Results After treatment,the median diameter of the narrowest esophageal lesion was increased[(8.92±0.64)mm versus(4.77±0.60)mm],the Karnofsky Performance Status(KPS)score was improved[(77.69±5.99)versus(84.62±6.60)],BMI was increased[(17.17±1.66)kg/m2 ver-sus(18.08±1.60)kg/m2],and the Stooler dysphagia grade was decreased compared with treatment be-fore.The main treatment-related adverse reactions were retrosternal pain and fever.Conclusion Photo-dynamic therapy for recurrent obstructive esophageal cancer has a rapid onset of action and mild ad-verse reactions,and ensures the smooth implementation of PDT and patients'safety.
