风险防范管理在老年宫颈癌患者放疗中的应用价值研究

A study on application value of riskprevention management in radiotherapy of elderly patients with cervical cancer

中文关键词: 老年, 宫颈癌, 风险防范管理, 放射治疗, 并发症

英文关键词: elderly  cervical cancer  risk prevention management  radiotherapy  complication

中文摘要:

      目的 分析风险防范管理在老年宫颈癌患者放疗中的应用效果,以期为患者预后的改善和风险防范管理体系的研究提供参考.方法 回顾性选择2023年10月-2024年10月在南通市肿瘤医院接受放疗的96例老年宫颈癌患者,依据患者放疗期间不同的干预方式分为观察组(n=48)和对照组(n=48).2组患者均行调强适形放疗,对照组放疗期间行常规干预,观察组在对照组干预的基础上加用风险防范管理模式.记录并比较2组干预前后生活质量、癌因性疲乏和放射性并发症情况.结果 干预前,2组患者FWB、PWB、EWB、SWB和TOTAL评分差异均无统计学意义(P＞0.05);干预后,2组患者FWB、PWB、EWB、SWB和TOTAL评分高于同组干预前,且观察组高于对照组,差异均有统计学意义(P＜0.05).干预前,2组患者认知、行为、感觉和情感评分差异均无统计学意义(P＞0.05);干预后,2组患者认知、行为、感觉和情感评分均低于同组干预前,且观察组低于对照组,差异均有统计学意义(P＜0.05).结束治疗时,2组放射性膀胱炎、放射性肠炎、放射性皮炎发生率差异均无统计学意义(P＞0.05);随访3个月时,观察组放射性膀胱炎、放射性肠炎、放射性皮炎发生率均低于对照组(P＜0.05).结论 风险防范管理可提高老年宫颈癌放疗患者的生存质量,降低癌因性疲乏和放射性并发症,具有一定的临床应用价值.

英文摘要:

      Objective To analyze the application effects of risk prevention management in radiotherapy of elderly pa-tients with cervical cancer,and provide reference for the improvement of patients'prognosis and the study of risk prevention management system.Methods 96 elderly patients with cervical cancer who received radiotherapy in Tumor Hospital of Nan-tong City from October 2023 to October 2024 were retrospectively selected and divided into observation group(n=48)and control group(n=48)according to different intervention methods during radiotherapy.Both groups received intensity-modula-ted radiotherapy.The control group received routine intervention during radiotherapy,and the observation group received risk prevention management model on the basis of the intervention of the control group.The quality of life,cancer-related fatigue and radiation complications were recorded and compared between the two groups before and after intervention.Results There were no significant differences in the scores of FWB,PWB,EWB,SWB and total score between the two groups before inter-vention(P＞0.05).After intervention,the scores of FWB,PWB,EWB,SWB and total score in the two groups were higher than those in the same group before intervention,and the observation group was higher than the control group(P＜0.05).There were no significant differences in the scores of the cognition,behavior,sensation and emotion between the two groups before intervention(P＞0.05).After intervention,the scores of the cognition,behavior,sensation and emotion in the two groups were lower than those in the same group before the intervention,and the observation group was lower than the control group(P＜0.05).At the end of treatment,there was no significant difference in the incidence of radiation cystitis,radiation enteritis and radiation dermatitis between the two groups(P＞0.05).During 3 month follow-up period,the incidence of radia-tion cystitis,radiation enteritis and radiation dermatitis in the observation group was lower than that in the control group(P＜0.05).Conclusion The risk prevention management can improve the quality of life of elderly cervical cancer patients under-going radiotherapy,reduce cancer-related fatigue and radiation complications.It has certain clinical application value.