China Journal of Oral and Maxillofacial Surgery ›› 2023, Vol. 21 ›› Issue (5): 491-496.doi: 10.19438/j.cjoms.2023.05.011

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Application of dietary nursing and psychological intervention in patients with oral mucosal ulceration after radiotherapy and chemotherapy for nasopharyngeal carcinoma

TANG Feng-rong1,2, WANG Peng1,2, ZHANG Yan3   

  1. 1. Department of Otolaryngology, Zhongshan Hospital, Fudan University(Xiamen Branch). Xiamen 361015, Fujian Province;
    2. Xiamen Clinical Medical Research Center for Comprehensive Treatment of Malignant Tumors. Xiamen 361015, Fujian Province;
    3. Department of Stomatology, Zhongshan Hospital, Fudan University. Shanghai 200032, China
  • Received:2022-02-08 Revised:2023-04-17 Online:2023-09-20 Published:2023-10-11

Abstract: PURPOSE: To investigate the application of dietary nursing and psychological intervention in patients with oral mucosal ulceration after radiotherapy and chemotherapy for nasopharyngeal carcinoma. METHODS: A total of 120 patients with nasopharyngeal carcinoma undergoing chemoradiotherapy in Zhongshan Hospital, Fudan University(Xiamen Branch) from April 2019 to July 2022 were selected. The patients were divided into control group and intervention group by convenient sampling in non-probabilistic sampling method with 60 cases in each group. The control group was given routine care, and the intervention group administered "one-on-one" education to patients through diet and psychological interventions. The degree of oral mucosal damage, weight index, quality of life score and anxiety score of the 2 groups were compared. SPSS 26.0 software package was used for data analysis. RESULTS: The degree of oral mucosal injury in the intervention group was significantly lower than that in the control group (P<0.05). After 6 months, the weight, quality of life in the intervention group were significantly higher than those in the control group, and the anxiety status in the intervention group was significantly lower than that in the control group(P<0.05). CONCLUSIONS: Dietary care can effectively improve the nutritional status and quality of life of patients with oral mucosal rupture caused by radiotherapy and/or chemotherapy for nasopharyngeal carcinoma. Through psychological intervention, guiding patients to face the disease correctly and relieve their emotions can effectively improve their psychological health.

Key words: Diet nursing, Psychological intervention, Nasopharyngeal cancer, Radio- and chemotherapy, Oral mucosa ulceration

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