| ObjectiveTo explore the apply effect of Teach-back teaching in nasopharyngeal carcinoma with undergoing radiotherapy patients,in order to improve the compliance of nasal irrigation in nasopharyngeal carcinoma radiotherapy patients,reduce the occurrence of nasal adhesions,and provide clinicalbasis for the best health education of nasopharyngeal carcinoma radiotherapy patients.methodUsing convenient sampling method,78 patients with nasopharyngeal cancer who received initial radiotherapy in the oncology department of a tertiary hospital in Ganzhou City were selected.,from December 2021 ～ October 2022 were selected,and 39 patients admitted from December,2021 ～April,2022 were selected as the control group.39 patients admitted to the hospital on May,2022 ～October,2022 were selected as the experimental group.The experimental group used the teach back method for health education on the basis of conventional methods,and the control group used conventional methods for health education to assess nasopharyngeal comfort,nasal mucosal reactions,adherence to nasal irrigation,incidence of nasal adhesions,comfort during radiotherapy and quality of life after intervention;3 months after the end of radiotherapy,the patient’s compliance with nasal irrigation and the incidence of nasal adhesions were assessed;To compare the differences between the two interventions.SPSS statistics 14.0 statistical software was used to analyze theexperimental results,with P <0.05 was considered statistically significant.results1、After intervention,there were significant differences in nasopharyngeal comfort,nasal mucosal reaction,compliance with nasal irrigation,rate of nasal adhesions comfort condition,and quality of life.The comparison was statistically significant(P<0.05).(1)Nasopharyngeal comfort: in the test group: mild discomfort was 35.9%,moderate discomfort was 56.41%,and severe discomfort was 7.70%;Control group: mild discomfort was 2.56%,moderate discomfort was 38.46%,and severe discomfort was 58.97%;The nasopharyngeal comfort of the experimental group was higher than that of the control group,The difference between the two group was statistically significant(Z=-5.249,P<0.05).(2)Nasal adhesion rate: the experimental group was 5.13%,and the control group was 20.51%;Thedifference between thetwo group was statistically significant(X2=4.129,P<0.05).(3)Nasal mucosal reaction: in the experimental group,92.31% of the second degree and 7.69%ofthe third degree;Inthe control group,58.97% of the second degreeand 41.03% of thethird degree;In the control group,the degree of nasopharyngeal mucosal reaction was more serious than that in the experimental group,The difference between the two group was statistically significant t(Z=-3.407,P<0.05).(4)Compliance with nasal irrigation: the complete compliance rate,partial compliance rate and non-compliance rate in the experimental group were 71.97%,28.21% and 0%,respectively;The complete compliance rate 2.56%,partial compliance rate 89.74%,and non-compliance rate 7.70% in the control group.The compliance with nasal irrigation in the experimental group was higher than that in the control group,The difference between the two group was statistically significant(X2=43.308,P<0.05).(5)Quality of life: before the intervention,the experimental group(37.64±1.68),the control group(38.26±1.31),and the comparison difference was not statistically significant(P>0.05);After intervention,the experimental group(61.64±6.05),and the control group(71.77±7.38);The higher the score,the worse the quality of life,and the quality of life of the experimental group was higher than that of the control group,The difference between the two group was statistically significant(P<0.05).(6)Comfort(It is composed of fourdimensions: physiological,psychological,environmental and social): before intervention,in the experimental group,physiological(45.33±1.55),psychological(15.46±1.65),environment(24.21±1.08),social(14.18±2.05),total score(99.21±2.66);In the control group,physiological(44.90±1.37),psychological(15.44±1.17),environment(24.56±1.14),social(13.26±1.76),total score(96.79±3.37);Compared with the control group,there was no significant difference between the two groups(P>0.05).After the intervention,in the experimental group: physiological(29.71±3.16),psychological(14.92±1.87),environmental(17.33±2.32),social(14.32±1.98),total score(76.13±6.21),in the control group,physiological(23.59±3.01),psychological(12.72±2.51),environment(16.51±1.86),social(12.52±1.97),total score(65±6.29);The total score,physiological dimensions,psychological dimensions and social dimensions of the two groups were statistically significant(t=-8.272,t=-4.397,t=-3.840,t=-7.613,P<0.05).There were no statistical differences in theenvironmental dimension(t=-1.722,P>0.05).2、Three months after the end of radiotherapy,the compliance and nasal adhesion rate of nasal irrigation between thetwo groups werestatistically significant(P<0.05).(1)Compliance with nasal irrigation: the complete compliance rate was 56.41%,the partial compliance rate was 41.03%,and the non-compliance rate was 2.56%;The control group had 0%complete compliance,76.92% partial compliance and 23.08% non-compliance.The compliance of nasal irrigation in the experimental group was higher than that in the control group,and the difference between the two groups was statistically significant(X2=43.308,P<0.05).(2)Nasal adhesion rate: 10.26% in the experimental group and 38.46% in the control group;In the experimental group,the nasal adhesion rate was lower than that in the control group,The differencebetween the twogroup was statistically significant(X2=8.419,P<0.05).Conclusion:The health education method through teach bach is helpful to improve nasal irrigation compliance in patients with radiotherapy for nasopharyngeal carcinoma,reduce the incidence of nasal adhesion,reduce nasal mucosal reaction,improve nasopharyngeal comfort,so as to indirectly improve the comfort and quality of life of patients during hospitalization.Studies have confirmed that feedback teaching is a veryworthy of clinical promotion. |
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