Đặc điểm tổn thương da ở bệnh nhân xạ trị và hiệu quả chăm sóc của điều dưỡng tại Trung tâm Ung bướu Bệnh viện Quân y 103

0 Người đánh giá. Xếp hạng trung bình 0

Tác giả: Văn Định Lê, Văn Hạ Trần, Văn Tôn Trần

Ngôn ngữ: vie

Ký hiệu phân loại: 571.45 *Radiobiology

Thông tin xuất bản: Tạp chí Y học Việt Nam (Tổng hội Y học Việt Nam), 2022

Mô tả vật lý: 636-641

Bộ sưu tập: Metadata

ID: 500667

Thêm vào giỏ

Identify some characteristics of skin damages in radiotherapy at Military Hospital 103. Initially evaluate the effectiveness of monitoring and caring for radiotherapy - induced skin damages of nurses at the Oncology Center. Subjects and research methods: Descriptive study of 38 cancer patients receiving radiation treatment at Military Hospital 103 from January 2020 to May 2020. Results: Skin damages appeared after 20Gy of radiation therapy, with a dose of ≤ 40Gy only had skin damages of grade 1. When radiotherapy doses above 40Gy or more 100% of patients had skin damage, with many morphologies of grade 2, grade 2.5, and 3
the higher the dose of radiation, the more severe the skin damage, no grade 4 skin damage. Skin damage in patients with breast cancer and cancer head and neck cancers are more severe than other cancers. Nurses accurately assessed skin damage in 97.37% of patients. The results of skin care of nurses helped 86.84% of patients receive continuous radiation therapy, 13.16% had to stop radiation treatment. The rate of skin damage recovery is 100%. Conclusion: Skin damages of radiotherapy patients are diverse and complex depending on the dose and location of radiation therapy. The monitoring, evaluation and skin care of nurses plays an important role, contributing to high treatment efficiency.Xác định một số đặc điểm tổn thương da ở bệnh nhân xạ tại Bệnh viện Quân Y 103. Bước đầu đánh giá hiệu quả theo dõi, chăm sóc tổn thương da do xạ trị của điều dưỡng tại Trung tâm Ung Bướu. Đối tượng và phương pháp nghiên cứu: Tiến cứu mô tả trên 38 bệnh nhân ung thư được xạ trị tại Bệnh viện Quân Y 103 từ tháng 01/2022 đến 05/2022. Kết quả: Sau khi xạ trị liều 20Gy đã xuất hiện tổn thương da, với liều ≤ 40Gy chỉ gặp tổn thương da độ 1. Khi xạ trị liều từ trên 40Gy trở lên 100% các bệnh nhân đều có tổn thương da, với nhiều hình thái tổn thương độ 2, độ 2,5, độ 3
liều xạ trị càng cao, mức độ tổn thương da càng nặng nề, không có tổn thương da độ 4. Tổn thương da ở các bệnh nhân ung thư vú và ung thư đầu cổ nặng nề hơn các ung thư khác. Điều dưỡng viên đã đánh giá chính xác tổn thương da ở 97,37% số bệnh nhân. Kết quả chăm sóc da của điều dưỡng giúp cho 86,84% số bệnh nhân được xạ trị liên tục, 13,16% phải ngừng xạ trị. Tỉ lệ hồi phục tổn thương da là 100%. Kết luận: Đặc điểm tổn thương da của bệnh nhân xạ trị đa dạng, phức tạp phụ thuộc vào liều chiếu và vị trí xạ trị. Việc theo dõi, đánh giá, chăm sóc da của điều dưỡng có vai trò quan trọng, góp phần đem lại hiệu quả điều trị cao.

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