TỔN THƯƠNG DA VÀ ĐAU CỦA NGƯỜI BỆNH UNG THƯ XẠ TRỊ TẠI BỆNH VIỆN 19 – 8 VÀ MỘT SỐ YẾU TỐ LIÊN QUAN

Abstract

Prospective study has been conducted among cancer with radiation therapy at 19-8 Hospital to (1) describle pain and skin reaction characteristics among study participants and (2) explore several associated factors on skin reaction characteristics. 264 patients had been evaluated and monitored during 2020 – 2021. Result: 70.8% of cancer patient with radiation therapy had skind reaction as level 1 – 2 by RTOG and few patient wtih levels 3 of RTOG. Common skind symptoms include redness, itching, and burning. Symptoms often appear on the skin such as a feeling of warmth, burning accounting for 33.3%; itching and discomfort on the skin accounted for 27.1%; pain / stinging like needles on the skin accounted for 20.5%. Pain symptoms of cancer patients during radiation therapy were reported in 64.3%. The group of patients with treatment time over 20 days, radiation dose above 41 Gy, had a higher relative risk of skin reaction from 1.2 to 1.7 times higher than the other group of patients. Conclusion: It is necessary to focus of caring and monitoring early skin lesions in the group of patients with high and prolonged exposure time.