现代医药卫生2024，Vol.40Issue(13)：2238-2241,4.DOI:10.3969/j.issn.1009-5519.2024.13.016
4R危机管理理论在乳腺癌放疗期患者放射性皮炎管理中的应用
Application of 4R crisis management theory in the management of radiation dermatitis in patients with breast cancer during radiotherapy
摘要
Abstract
Objective To explore the application of 4R crisis management theory in the management of radiation dermatitis in patients with breast cancer during radiotherapy.Methods This study was a retrospec-tive cohort study.Using the cluster sampling method,a total of 52 breast cancer postoperative radiotherapy patients who received radiotherapy in the Cancer Radiation Center of the hospital from March 2021 to Febru-ary 2022 were selected as the control group,and 57 breast cancer postoperative radiotherapy patients who re-ceived radiotherapy in the Cancer Radiation Center of the hospital from March 2022 to February 2023 were se-lected as the observation group.The control group was intervened with routine nursing management mode,while the observation group was managed with 4R crisis management theory.The incidence,severity,comfort,and overall satisfaction of radioactive dermatitis in the two groups were compared.Results The incidence of radiation dermatitis in the observation group[40.35％(23/57)]was lower than that in the control group[69.23％(36/52)],and the difference was statistically significant(x2=9.134,P＜0.05).The severity of radi-ation dermatitis in the observation group was significantly less than that in the control group,and the differ-ence was statistically significant(Z=-3.445,P=0.003).The comfort and overall satisfaction of the observa-tion group during treatment were better than those of the control group,and the differences were statistically significant(Z=-2.553,P=0.011;Z=-2.332,P=0.020).Conclusion The application of 4R crisis man-agement theory in the management of radiation dermatitis in patients with breast cancer during radiotherapy can significantly reduce the incidence and severity of radiation dermatitis,improve patient comfort and overall satisfaction during treatment.关键词
4R危机管理理论/乳腺癌/放射性皮炎/放射治疗Key words
4R crisis management theory/Breast cancer/Radiation dermatitis/Radiotherapy分类
医药卫生引用本文复制引用
肖博,邹婷婷,刘月..4R危机管理理论在乳腺癌放疗期患者放射性皮炎管理中的应用[J].现代医药卫生,2024,40(13):2238-2241,4.基金项目
重庆市重点专科《临床护理》精品建设项目(0203[2023]47号202336). （0203[2023]47号202336）
