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目的分析患者参与式质量控制小组运用于鼻咽癌放疗患者中对功能锻炼依从性、张口及吞咽功能的改善情况。方法收集2015年1月至2016年11月收治的94例鼻咽癌放疗患者的临床病历资料,按抽签方式分为两组。对照组(n=47)实施健康教育+常规护理干预,研究组(n=47)开展患者参与式质量控制小组进行干预,分析两种干预方式对患者的面部活动恢复情况、功能锻炼依从性、生活质量的影响。结果研究组功能锻炼依从性优于对照组,生活质量评分高于对照组,差异均有统计学意义(P均<0.05);研究组张口困难(2.13%)、吞咽障碍(6.38%)、颈部活动受限(4.26%)发生率均低于对照组(17.02%、27.66%、21.28%),差异均有统计学意义(P均<0.05)。结论将患者参与式质量控制小组运用于鼻咽癌放疗患者中有助于促进其快速恢复面部活动,提高功能锻炼依从性,改善生活质量,利于预后。
Objective To analyze the improvement of functional exercise compliance, mouth opening and swallowing function of patients’ participatory quality control team in radiotherapy of nasopharyngeal carcinoma. Methods The clinical records of 94 patients with nasopharyngeal carcinoma treated by radiotherapy from January 2015 to November 2016 were collected and divided into two groups by lottery. In the control group (n = 47), health education + routine nursing intervention was conducted. The research group (n = 47) conducted interventional quality control group intervention to analyze the recovery of facial activity, functional exercise compliance, Impact of quality of life. Results The study group had better functional compliance than the control group, and the quality of life score was higher than that of the control group (P <0.05). The study group had difficulty in opening mouth (2.13%), swallowing disorder (6.38%), neck (4.26%) were lower than the control group (17.02%, 27.66%, 21.28%), the differences were statistically significant (P all <0.05). Conclusions The application of patient participatory quality control team to patients with nasopharyngeal carcinoma radiotherapy can help promote its quick recovery of facial activity, improve functional exercise compliance, improve quality of life and prognosis.