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[目的]探讨医护一体化工作模式在放化疗性口腔黏膜炎中的应用及效果。[方法]选取200例鼻咽癌同期放化疗病人,随机分为观察组和对照组各100例。对照组给予常规护理模式,观察组给予医护一体化工作模式。比较两组病人放射性口腔黏膜炎分级、放化疗性口腔疼痛分级、营养风险及治疗中断情况。[结果]观察组放化疗性口腔黏膜炎分级显著轻于对照组(P<0.05);观察组病人放化疗性口腔疼痛分级显著轻于对照组(P<0.05);观察组营养风险筛查量表(NRS2002)评分显著低于对照组(P<0.05)。与对照组相比,观察组因放化疗性口腔黏膜炎导致治疗中断情况显著改善(P<0.05)。[结论]医护一体化工作模式可降低鼻咽癌同期放化疗病人放化疗性口腔黏膜炎及放化疗性口腔疼痛的发生程度,改善营养状况,提高放化疗耐受性。
[Objective] To explore the application and effect of medical-health integration mode in chemoradiation oral mucositis. [Methods] 200 patients with concurrent nasopharyngeal carcinoma treated by radiotherapy and chemotherapy were randomly divided into observation group and control group with 100 cases each. The control group was given routine nursing mode, while the observation group was given the mode of health care integration. Radiological oral mucositis grading, chemoradiation oral cavity pain classification, nutritional risk and treatment disruption were compared between the two groups. [Results] The grade of chemoradiation oral mucositis in the observation group was significantly lower than that in the control group (P <0.05). The grade of chemoradiotherapy oral pain in the observation group was significantly lighter than that of the control group (P <0.05) Table (NRS2002) score was significantly lower than the control group (P <0.05). Compared with the control group, the treatment group had significantly improved treatment interruption due to chemoradiation oral mucositis (P <0.05). [Conclusion] The mode of integrated medical and nursing work can reduce the incidence of chemoradiotherapy and chemoradiation oral pain in patients with nasopharyngeal carcinoma during concurrent chemoradiotherapy, improve the nutritional status and enhance the tolerance of radiotherapy and chemotherapy.