文章摘要

基于证据的协同护理模式在放化疗肿瘤患者口腔黏膜炎中的应用

作者: 1刘小曼, 1金小红, 1王小燕
1 南通大学附属医院肿瘤化疗科,江苏 南通 226001
通讯: 金小红 Email: 704932537@qq.com
DOI: 10.3978/j.issn.2095-6959.2018.09.020
基金: 江苏省卫生和计划生育委员会2016 年度护理学科研课题(N201604)。

摘要

目的:探讨基于证据的协同护理模式对放化疗肿瘤患者口腔黏膜炎的影响。方法:肿瘤科2016年 1月至2017年1月收治的首次放化疗患者96例,分为对照组和观察组,每组各48例,对照组采用基础口腔护理,观察组通过构建医护协同照护小组、明确协同护理目标,制定基于证据的《放化疗患者口腔黏膜炎协同照护方案》。对比两组化疗1年内,每轮放化疗第3天、结束当天、结束后 14 d的口腔状况评分、疼痛评分和口腔健康相关生活质量得分。结果:基于循证的协同护理模式可改善肿瘤患者在放化疗第3天、结束当天及之后14 d的口腔状态、减轻其疼痛,并且提高口腔健康相关生活质量(P<0.05)。结论:基于证据的协同护理模式应用于放化疗肿瘤患者口腔黏膜炎的预防和治疗有较好的效果,未来可推广应用于临床,不断更新研究证据,从而改进临床护理方案。
关键词: 口腔黏膜炎;肿瘤;放疗;化疗;协同护理模式

Application of evidence-based cooperative nursing model for oral mucositis in patients with radiotherapy and chemotherapy cancer

Authors: 1LIU Xiaoman, 1JIN Xiaohong, 1WANG Xiaoyan
1 Department of Cancer Chemotherapy, Affiliated Hospital of Nantong University, Nantong Jiangsu 226001, China

CorrespondingAuthor: JIN Xiaohong Email: 704932537@qq.com

DOI: 10.3978/j.issn.2095-6959.2018.09.020

Foundation: This work was supported by Jiangsu Provincial Health and Family Planning Commission 2016 Nursing Research Project, China (N201604).

Abstract

Objective: To explore the effect of evidence-based collaborative care model on oral mucositis in patients with radiotherapy and chemotherapy tumors. Methods: Ninety-six patients undergoing primary radiotherapy and chemotherapy in Department of Oncology from January 2016 to January 2017 were divided into a control group and an observation group, each with 48 cases. The control group used basic oral care measures. The observation group established a collaborative group of care and maintenance, clearly synergize care goals and formulate evidence-based “synergic care plans for oral mucositis in patients undergoing radiotherapy and chemotherapy”. The average of oral condition scores, pain scores, and oral health-related quality of life scores within 1 year, the first 3 days, the end of the day, 14 days after chemotherapy were compared between the two groups. Results: Based on evidence-based collaborative care model, patients could improve their oral status, relieve pain, and improve their oral health-related quality of life (P<0.05) on day 3 and day 14 after radiotherapy and chemotherapy. Conclusion: The evidence-based collaborative care model has good results in the prevention and treatment of oral mucositis in patients with radiotherapy and chemotherapy tumors. It can be widely used in the clinic in the future and continuously update research evidence to improve clinical nursing programs.
Keywords: oral mucositis; neoplasms; radiotherapy; chemotherapy; cooperative care model

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