Construction and preliminary application of a skin care program in breast cancer patients with radiodermatitis

doi:10.3761/j.issn.0254-1769.2023.21.002

Abstract

Abstract:

Objective In this research，we constructed a skin care program for radiodermatitis in breast cancer patients and explore its clinical application effect. Methods The skin care program for radiodermatitis of breast cancer patients was constructed by the evidence summary and expert meeting. By the convenient sampling method，the patients admitted from July 2022 to September 2022 were selected as the control group for routine nursing，and the patients admitted from October 2022 to December 2022 were selected as the intervention group. The severity of radiodermatitis and quality of life of patients were compared between the 2 groups. Results The Radiation-Induced Skin Reaction Assesment Scale score of the intervention group was（4.63 ± 2.12） after intervention，which was lower than （9.88 ± 2.35） of the control group. After intervention，ou. Results determined by RTOG showed that 16 patients in the control group had grade Ⅰ dermatitis（66.7%）；8 patients had grade Ⅱ dermatitis（33.3%）；22 patients in the intervention group had grade Ⅰ dermatitis（91.7%），and 2 patients in the intervention group had grade Ⅱ dermatitis（8.33%）. The score of quality of life after intervention was（102.04±18.20） in the intervention group and（78.29±13.18） in the control group. The differences were statistically significant（P<0.001）. Conclusion The skin care program for radiodermatitis can effectively reduce the severity of radiodermatitis of breast cancer patients，and the quality of life of breast cancer patients during radiotherapy can be effectively improved.

Key words: Breast Neoplasms, Radiodermatitis, Skin Care Program

摘要： 目的构建乳腺癌患者放射性皮炎护理方案，并初步探讨其临床应用效果。方法运用证据总结法与专家会议法，构建乳腺癌患者放射性皮炎护理方案。采用便利抽样法，将2022年10月—12月入院的患者设为试验组，按照所构建的护理方案进行干预，将2022年7月—9月入院的患者设为对照组，接受常规护理，干预总时长为5周。5周放疗疗程结束后，比较两组放射性皮炎严重程度、生活质量。结果干预后，试验组急性放射性皮炎反应评估得分为（4.63±2.12）分，低于对照组得分（9.88±2.35）分；急性放射性损伤分级标准为试验组干预后Ⅰ级皮炎22例（91.7%），Ⅱ级皮炎2例（8.33%），对照组干预后Ⅰ级皮炎16例（66.7%），Ⅱ级皮炎8例（33.3%）；试验组干预后乳腺癌生活质量测定量表得分为（102.04±18.20）分，对照组得分为（78.29±13.18）分；差异均具有统计学意义（P<0.001）。结论实施乳腺癌患者放射性皮炎护理方案可以有效降低乳腺癌患者放射性皮炎的严重程度，有效提高乳腺癌患者在放疗期间的生活质量。

关键词: 乳腺肿瘤, 放射性皮炎, 皮肤护理方案

LIU Lu, GAN Jiawei, JIANG Tongtong, SHI Tieying. Construction and preliminary application of a skin care program in breast cancer patients with radiodermatitis[J]. Chinese Journal of Nursing, 2023, 58(21): 2575-2582.

刘璐, 甘佳伟, 姜桐桐, 史铁英. 乳腺癌患者放射性皮炎护理方案的构建及应用研究[J]. 中华护理杂志, 2023, 58(21): 2575-2582.

Figures/Tables 4

Table 1 Skin care program in breast cancer patients with radiodermatitis

Table 2 Comparison of basic information between 2 groups of patients

Table 3 Comparison of skin damage（RISRAS） between the 2 groups before and after intervention（score，$\bar{x}$±s）

Table 4 Comparison of total scores and scores of eachdimension of quality of life between the 2 groups befoRe and after intervention( score, $\bar{x}$±s )

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