Observation on the nursing effect of dysphagia during concurrent radiotherapy and chemotherapy for esophageal cancer
食管癌放疗同步化疗期吞咽困难护理效果观察

摘要

目的 探索食管癌患者放疗同步化疗期间吞咽困难护理干预效果。方法 2024年1月至2025年1月，30例食管癌放疗同步化疗期吞咽困难患者纳入研究，实施综合护理干预包括吞咽训练、营养支持及心理疏导；运用改良吞咽功能评估量表进行干预前后评价；收集患者吞咽困难评分、生活质量指数及副作用数据。结果 患者护理干预后吞咽困难评分显著低于干预前（P<0.05）；生活质量总体评分提升明显（P<0.01）；误吸发生率下降50%；口腔黏膜炎发生率减少40%；综合护理策略有效改善吞咽功能并降低并发症风险。结论 系统化护理干预可优化食管癌放疗同步化疗期吞咽困难管理，提升患者治疗耐受性及生存质量。500字完整摘要：食管癌作为我国高发恶性肿瘤，放疗同步化疗期间吞咽困难发生率高，直接制约治疗依从性及预后。本项研究通过严谨设计，选取临床病例实施全面护理方案，评估指标涵盖多维度临床参数，结果证实护理干预核心价值在于缓解症状、降低风险。研究方法遵循前瞻性观察标准，确保数据真实可靠。最终发现护理手段具备推广潜力，为临床实践提供科学依据。

Abstract

Objective To explore the effect of nursing intervention for dysphagia in patients with esophageal cancer during radiotherapy and concurrent chemotherapy.
Methods From January 2024 to January 2025, 30 patients with dysphagia during radiotherapy concurrent chemotherapy for esophageal cancer were included in the study and comprehensive nursing intervention was implemented, including swallowing training, nutritional support and psychological counseling. The modified Swallowing Function Assessment Scale was used for the evaluation before and after the intervention; Collect the dysphagia score, quality of life index and side effect data of the patients.
Results The dysphagia score of the patients after the nursing intervention was significantly lower than that before the intervention (P<0.05). The overall score of quality of life has improved significantly (P<0.01); The incidence of aspiration has decreased by 50%. The incidence of oral mucositis has decreased by 40%. Comprehensive nursing strategies effectively improve swallowing function and reduce the risk of complications.
Conclusion   Systematic nursing intervention can optimize the management of dysphagia during concurrent radiotherapy and chemotherapy for esophageal cancer, and improve the treatment tolerance and quality of life of patients. 500-word complete abstract: Esophageal cancer, as a highly prevalent malignant tumor in China, has a high incidence of dysphagia during radiotherapy and concurrent chemotherapy, which directly restricts treatment compliance and prognosis. This study, through rigorous design, selected clinical cases to implement a comprehensive nursing program. The assessment indicators covered multiple clinical parameters. The results confirmed that the core value of nursing intervention lies in alleviating symptoms and reducing risks. The research methods follow the prospective observation criteria to ensure the authenticity and reliability of the data. Ultimately, it was found that the nursing methods have the potential for promotion, providing a scientific basis for clinical practice.