Evidence-based practice effect of care scheme for radiation-induced oral mucositis
10.3760/cma.j.cn115682-20191112-04130
- VernacularTitle:放射性口腔黏膜炎照护方案的循证实践效果
- Author:
Xiaoyan MENG
1
;
Xia LIU
;
Wenjuan ZHAO
;
Aihua ZHU
;
Xiaoju ZHANG
Author Information
1. 复旦大学附属肿瘤医院放疗科,上海 200030
- Keywords:
Mouth;
Head and neck cancer;
Radiation-induced oral mucositis;
Oral health behavior;
Evidence-based practice;
Care scheme
- From:
Chinese Journal of Modern Nursing
2020;26(23):3193-3197
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To formulate oral health care standards for patients with head and neck cancer radiotherapy and evaluate their effects.Methods:The best evidence was obtained by using evidence-based medicine, and nursing suggestions on oral health behavior for patients with head and neck cancer were formed based on the actual clinical situation. According to it, oral health behavior care scheme, procedures, education manuals and videos for radiation-induced oral mucositis were formulated. Using the convenient sampling method, a total of 237 patients with head and neck cancer who received head and neck radiotherapy in Fudan University Shanghai Cancer Hospital from July 2015 to December 2015 were selected as the research objects. A total of 104 patients who were admitted from July 2015 to August 2015 were set as the control group, while 133 patients who were admitted from September 2015 to December 2015 were set as the intervention group. The intervention group used care scheme for radiation-induced oral mucositis to implement care, while the control group was given routine treatment and care. The occurrence and severity of oral mucositis between the two groups were compared.Results:After the intervention, the incidence of radiation-induced oral mucositis in the second and third weeks, and the grades of oral mucositis in the first to third weeks between the two groups were statistically significant ( P<0.05) . Conclusions:Oral health behavior nursing scheme based on evidence-based medical evidence can reduce the incidence of radiation-induced oral mucositis, reduce radiotherapy response and improve the quality of clinical care.