To analyze the effects of chain management model of radiation skin injury combined with structured skin intervention on the skin injury degree and prognosis in patients with radiation dermatitis.

Selected 55 patients with radiation dermatitis who received routine nursing and structured skin intervention in Department of General Medicine, Characteristic Medical Center of Rocket Army from August 2020 to July 2021 as routine group, and 55 patients who received chain management model of radiation skin injury combined with structured skin intervention from August 2021 to August 2022 were enrolled as intervention group. The patients in the two groups were treated with radiotherapy for 6-7 weeks, with the total dose of 60-72 Gy. Radiation skin injury grading standard developed by Radiation Therapy Oncology Group (RTOG), exercise of self-care agency scale (ESCA), visual analogue scale (VAS), comfort status scale and dermatology life quality index (DLQI) were used to evaluate the skin injury degree, self-care ability, pain degree, comfort and quality of life.

After intervention, the skin injury degree in intervention group was significantly milder than that in routine group (Z=12.795, P<0.05). The scores of dimensions and total score of ESCA scale in both groups were significantly increased compared with those before intervention (P<0.05), and the scores of self-concept, health knowledge, self-care skills and self-care responsibility and total score in intervention group were significantly higher than those in routine group (t=5.299, 3.593, 3.433, 3.256, 4.863; P<0.05). The VAS score in intervention group after intervention was significantly lower than that in routine group (t=9.241, P<0.05), while the comfort score was significantly higher than that in routine group (t=7.187, P<0.05). The DLQI scores at 4 and 6 weeks of radiotherapy in intervention group were significantly lower than those in routine group (t=2.192, 2.370; P<0.05).

Chain management model of radiation skin injury combined with structured skin intervention can significantly reduce the degree of skin injury, improve the self-care ability, relieve the pain, and enhance the comfort and quality of life in patients with radiation dermatitis.