循证护理与标准化口腔护理预防化疗口腔黏膜炎

[目的]对化疗后如何预防口腔黏膜炎进行循证查询,制定标准化的预防措施,降低口腔炎的发生。[方法]广泛查阅文献,分析综合利用信息,制定有较充分循证依据支持的护理措施,进行标准化的预防护理,选用OGA为标准化口腔黏膜评估方法,WHO的黏膜炎标准为诊断标准,标准化的口腔基础护理、化疗过程中含漱冰盐水作为基础预防性护理措施。比较实施前后的妇科滋养细胞疾病化疗病人发生口腔炎的情况。[结果]实施后口腔炎的发生率和严重程度均明显下降,差异有统计学意义。[结论]标准化的口腔护理评估,有助于早期发现口腔黏膜病变,运用标准化的有循证依据的预防护理措施,包括标准化的评估和诊断标准、基础护理、化疗过程中含漱冰盐水,能够有效的降低化疗引起的口腔炎的发生率和降低口腔炎的严重程度,有较好的预防作用。

EVIDENCE-BASED AND STANDARDIZED ORAL NURSING CARE IN PREVENTION OF MUCOSITIS DUE TO CHEMOTHERAPY

[Objective]To apply the evidence-based interventions in prevention of oral mucositis due to chemotherapy.[Methods]Searched for evidence-based nursing measures of prevention for oral mucositis from literatures,applied the measures in clinical practice,that included standardized assessment and diagnosis,basic oral nursing care,and ice-salt water mouth holding and washing during the process of chemotherapy.Compared the situation of oral mucositis before and after the nursing measures applied.[Results]The rate ...