中华护理杂志 ›› 2026, Vol. 61 ›› Issue (13): 1784-1791.DOI: 10.3761/j.issn.0254-1769.2026.13.008
中华护理学会肿瘤护理专业委员会 中国抗癌协会放射治疗整合护理专业委员会(执笔：陈丽1(
), 罗珏1,*(), 张晓菊1, 陆箴琦1, 谢茗珠1, 陆宇晗)2
收稿日期:2025-12-10
出版日期:2026-07-10
发布日期:2026-07-01
*通讯作者:
罗珏，E-mail：18017312586@163.com作者简介:陈丽：女，硕士，主管护师，E-mail：chenliacyx@163.com
基金资助:
Cancer Nursing Committee of Chinese Nursing Association, Integrated Radiotherapy Nursing Committee of Chinese Anti⁃Cancer Association (Writing Committee：CHEN Li1(), LUO Jue1,*(), ZHANG Xiaoju1, LU Zhenqi1, XIE Mingzhu1, LU Yuhan)2
Received:2025-12-10
Online:2026-07-10
Published:2026-07-01
* Corresponding author:
LUO Jue，E-mail：18017312586@163.comFunding program:摘要：
目的 编制肿瘤患者放射性皮肤损伤自我管理指导专家共识（以下简称“共识”），旨在为护士指导肿瘤患者对放射性皮肤损伤进行科学、有效的自我管理提供依据。方法 严格遵循世界卫生组织标准版指南制订流程，经文献检索、质量评价、证据提取形成“共识”初稿。2025年7—10月，邀请21名肿瘤、放疗、伤口/造口相关领域的临床护理、临床医疗或护理管理专家进行2轮函询，并组织15名专家进行专家论证，形成“共识”终稿。结果 2轮函询的有效问卷回收率均为100%，专家的权威系数分别为0.922、0.924，条目的重要性评分分别为（4.54±0.34）（4.62±0.39）分，平均变异系数分别为0.175、0.162，肯德尔和谐系数分别为0.174、0.168（均P<0.001），2轮函询共收集354条修改意见。根据函询及论证专家建议修订“共识”内容，最终形成的“共识”包括风险因素识别、自我评估及主动报告、日常护理、敷料的选择及使用、药物预防、常用处理方法等内容。结论 该“共识”可为护士指导肿瘤患者进行放射性皮肤损伤的自我管理提供科学依据，并为后续相关研究的开展奠定基础。
中华护理学会肿瘤护理专业委员会 中国抗癌协会放射治疗整合护理专业委员会(执笔：陈丽, 罗珏, 张晓菊, 陆箴琦, 谢茗珠, 陆宇晗). 肿瘤患者放射性皮肤损伤自我管理指导专家共识[J]. 中华护理杂志, 2026, 61(13): 1784-1791.
Cancer Nursing Committee of Chinese Nursing Association, Integrated Radiotherapy Nursing Committee of Chinese Anti⁃Cancer Association (Writing Committee：CHEN Li, LUO Jue, ZHANG Xiaoju, LU Zhenqi, XIE Mingzhu, LU Yuhan). Expert consensus on self-management of radiation-induced skin injury in cancer patients[J]. Chinese Journal of Nursing, 2026, 61(13): 1784-1791.
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