Application of evidence nursing intervention for radiation reaction of nasopharyngeal carcinoma patients at later period

Abstract

Objective To investigate the nursing of anxiety and radiation reaction degree of radiation treatments in nasopharyngeal carcinoma (NPC) patients at the late period.Methods 68 patients pathologically diagnosed as NPC who received radiotherapy for about six weeks,used the application of self design as ＜the survey of patients with systemic and local reactions in late radiation therapy ＞ and symptoms of anxiety scale test (SAS) to analyze the questions and seek evidence nursing intervention,according to the individual problems.Results The problems of patients were as follows:① dizziness,fatigue,how to conduct anti-fall care? ② Oral mucosal inflammation and ulcerative reaction,how to effectively prevent and reduce oral mucosa reaction and oral fungal infection? ③ Producing negative reaction,such as different degrees of anxiety,how to carry out psychological intervention? We should obtain randomized controlled trials,systematic reviews and Meta-analysis of documentary evidence,the patients satisfaction rate accounted for 79.4％-98.5％,anxiety reaction was lower than the psychological counseling,the statistical significance was (t=20.431,P ＜ 0.01).Conclusion For NPC patients with radiation reaction,using evidence nursing can effectively reduce the radiation complications,and alleviate the anxiety of patients. Key words: Nasopharyngeal carcinoma;  Radiation reaction;  Evidence;  Intervention