objective To explore the effect about nursing intervention on combined radiotherapy and chemotherapy of advanced Nasopharyngeal carcinoma.Methods 110 cases of stage Ⅲ nasopharyngeal carcinoma were randomly assigned to study group which was combined radiotherapy and chemotherapy and control group was subjected to radiotherapy simply . To study the therapeutic efficacy and toxic side effects .according to different toxic side effects we adopted corresponding nursing measures and observed the effects.Results All cases could smooth complete therapy according to plan but toxic side effects in the studying group were worse that of the control group .the patients can relieve their psychogyical press and toxic side effects when they were given the positive nursing measures short- term effects showed the same CR rate of the primary nasopharyngeal focus (p0.05 ).Long-term effects showed the CR rate of neck lymphatic metastasis focus and 5-year survival rate in the study group were higher than that of the control group.Conclusion Combined radiotherapy and chemotherapy could significantly increase the short-term effects and 5-year survival rate but the toxic side effects were severe .Nursing measures could mobilize the patients subjective positive factors and improve the patients who cooperated and received therapy. It was reduced radialized oral mucositis and skin reaction and prevented or decreased complication. It was an important action to smooth complete all therapy and improve the effect

目的探讨鼻咽癌(NPC)放疗病人对健康教育认知需求的内容和程度,为病人提供最佳的心理支持,从而达到减轻放疗的副反应,提高病人的生活质量.方法对118例住院NPC放疗病人采用自行设计"健康教育需求和健康知识调查问卷",由病人自行评估选择,对文盲辅助测评,所得数据进行统计学处理.结果NPC病人对癌症疾病及放疗知识缺乏认识;对健康教育需求强烈,分布面较广;在出院后对健康教育咨询选择有趋同性.结论为有效进行健康教育提供科学依据,并为社区开展健康教育提供了方向.

目的探讨晚期癌症患者临终护理的有效方法,帮助患者解脱和超越痛苦,提高临终患者的生活质量.方法对8 3例晚期癌症患者给予疼痛的护理、心理护理、基础护理等护理措施.结果8 3例晚期癌症患者的疼痛减轻,情绪稳定,在生命的最后时刻享受优质的护理.结论提高了临终患者的生活质量.

Absrtact Objective To make eldly tumor patients compele chemotherapy successfully and improvelife of quality of those patients.Method Blood vessel nursing care,protective isolation,diet guidingand observing changes of state of illness intimately were strengthened in 126 eldly tumor patients.Result In 126 eldly tumor patients, 112 patients(88.9%) finished chemotherapy plan successfully.Conclusion To finish chemotherapy successfully,it is necessary to take effective nursing measuresaccording to physiological characteristic of eldly tumor patients.

目的探讨如何对新调入肿瘤科的护士进行专科教育的有关问题.方法 帮助新护士尽快适应工作环境,进行必要的专科知识教育和专科技术传授,熟练掌握肿瘤病人的心理特点及健康教育技巧.结果新护士在调入 1个月后能单独完成本职工作,未发生差错和事故,同事对新调入护士评价好,病人满意.结论 护士长对新调入护士有目的地进行专科理论知识教育和专科技术操作传授,言传身教,对尽快提高新调入护士的工作能力,确保护理质量起着重要的作用.

为治疗化疗药物外渗性损伤,对160例化疗药物外渗性损伤的患者进行治疗对照观察.将观察对象随机分为两组:治疗组局部用金黄散激素软膏外敷,对照组用50%硫酸镁湿敷.结果表明治疗组明显优于对照组(P＜0.01),疗效显著.

我科于2000年9月～2001年5月,采用5-Fu(5-氟尿嘧啶)持续48小时静脉灌注对60例恶性肿瘤病人进行静脉化疗,现将近期疗效及护理体会报告如下:

目的为肿瘤化疗病人建立良好的静脉通道,保证药物准确输入,避免化疗药物产生的局部不良反应.方法对60例肿瘤病人随机采用PICC置管及普通留置针输入大剂量化疗药物,经x2检验.结果PICC 置管在静脉炎、留置时间明显优于普通静脉留置针,无1例发生药物外渗损伤,保证化疗顺利完成.结论大剂量化疗行PICC置管,可以更好地保护血管,减少痛苦;而正确选择血管是穿刺成功的关键,严格无菌操作及正压封管是预防感染和导管阻塞的保证.