The application effect of skin care in promoting the healing of skin wounds and improving the satisfaction of care in patients with head and neck tumors undergoing radiotherapy
皮肤护理在促进头颈部肿瘤放疗患者皮肤创面愈合及护理满意度提升中的应用效果

摘要

目的 分析皮肤护理在头颈部肿瘤放疗患者中对皮肤创面愈合及护理满意度的提升效果。方法 选取2023年1月-2025年1月本院收治的64例头颈部肿瘤放疗患者，以随机抽签方式分组，各32例。对照组实施放疗常规护理，观察组在对照组基础上实施针对性皮肤护理。对比两组皮肤创面愈合指标及护理满意度。结果 观察组干预后皮肤红斑出现时间晚于对照组，创面愈合时间短于对照组（P＜0.05）；观察组Ⅰ级皮肤损伤发生率高于对照组（χ2=4.267，P=0.039），Ⅲ级皮肤损伤发生率低于对照组（χ2=4.730，P=0.030），Ⅲ级、Ⅳ级皮肤损伤对比差异不显著（χ2=0.000、1.016，P=1.000、0.313）；观察组护理满意度96.88%高于对照组78.13%（P＜0.05）。结论 对接受放疗的头颈部肿瘤患者实施针对性皮肤护理，可延迟皮肤损伤出现时间、缩短创面愈合时间、降低损伤程度，同时提升护理满意度，值得临床推广。

Abstract

Objective To analyze the effect of skin care on improving skin wound healing and nursing satisfaction in patients with head and neck tumors undergoing radiotherapy.
Methods Sixty-four patients with head and neck tumors who received radiotherapy in our hospital from January 2023 to January 2025 were selected and randomly grouped by drawing lots, with 32 cases in each group. The control group received routine radiotherapy care, while the observation group received targeted skin care on the basis of the control group. Compare the wound healing indicators and nursing satisfaction of the two groups.
Results The appearance time of skin erythema in the observation group after intervention was later than that in the control group, and the wound healing time was shorter than that in the control group (P < 0.05). The incidence of grade I skin injury in the observation group was higher than that in the control group (χ2=4.267, P=0.039), the incidence of grade III skin injury was lower than that in the control group (χ2=4.730, P=0.030), and there was no significant difference between grade III and grade IV skin injuries (χ2=0.000, 1.016, P=1.000, 0.313). The nursing satisfaction rate of the observation group was 96.88%, which was higher than that of the control group (78.13%) (P < 0.05).
Conclusion   Implementing targeted skin care for patients with head and neck tumors undergoing radiotherapy can delay the occurrence time of skin injuries, shorten the wound healing time, reduce the degree of injury, and improve the satisfaction of nursing at the same time. It is worthy of clinical promotion.