目的 探究家属支持护理对调强放疗同步化疗的中晚期食管癌患者影响。方法 纳入2014年12月-2017年12月于我院 拟接受调强放疗同步化疗的66例中晚期食管癌患者及其家属作为受试对象，以抽签法平均分为试验组与对照组， 每组各33例。对照组采用常规护理模式，试验组在常规护理基础上增加家属支持护理。于护理干预前(患者入院48 小时内)和护理干预后(调强放疗同步化疗2个月后)，采用患者自评-主观全面评定量表(PG-SGA)、自我管理效能感 量表(SUPPH)对患者营养状态及自我效能感进行评估。结果 护理干预后,两组PG-SGA评分均较护理干预前明显提高 且试验组评分明显低于对照组(P＜0.05)；两组SUPPH评分均较护理干预前明显升高，且试验组明显高于对照组(P ＜0.05)。结论 家属支持护理有助于改善调强放疗同步化疗的中晚期食管癌患者的营养状态及增强患者自我效能 感。

Objective To explore the effects of family support nursing on patients with advanced esophageal cancer undergoing intensity-modulated radiotherapy and concurrent chemotherapy. Methods 66 cases of patients with advanced esophageal cancer who were scheduled to receive concurrent chemotherapy with intensity-modulated radiotherapy and their families from December 2014 to December 2017 were enrolled in the study and were divided into experimental group and control group according to the drawing method, with 33 cases in each group. Control group was given routine nursing model, and experimental group was added with family support nursing on the basis of routine nursing. The Patient-Generated Subjective Global Assessment (PG-SGA) and (Strategies by Used People to Health Promote (SUPPH) were used to evaluate the nutritional status and self-efficacy before nursing intervention (within 48 h after admission) and after nursing intervention (after 2 months of intensity-modulated radiotherapy and concurrent chemotherapy). Results After nursing intervention, the PG-SGA scores in the two groups were significantly higher than those before nursing intervention, and the score in experimental group was significantly lower than that in control group (P<0.05). The SUPPH scores in the two groups were significantly higher than those before nursing intervention, and the score in experimental group was obviously higher than that in control group (P<0.05). Conclusion Family support nursing can improve the nutritional status and enhance patient’ s selfefficacy of patients with advanced esophageal cancer treated by intensity-modulated radiotherapy and concurrent chemotherapy.