Evidence-based practice of radiotherapy-induced oral mucositis care blueprint based on action studies
10.3760/cma.j.cn115682-20210810-03554
- VernacularTitle:基于行动学研究的放射性口腔黏膜炎照护蓝图的循证实践
- Author:
Yan JIA
1
;
Caixian YE
;
Hongying PAN
;
Xuefeng CHEN
;
Xiaowei FU
Author Information
1. 中国科学院大学附属肿瘤医院(浙江省肿瘤医院),中国科学院基础医学与肿瘤研究所头颈放疗科,杭州 310022
- Keywords:
Radiotherapy-induced oral mucositis;
Action research method;
Nasopharyngeal carcinoma;
Oral mucositis care
- From:
Chinese Journal of Modern Nursing
2022;28(11):1483-1489
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To formulate a blueprint for the care of radiotherapy-induced oral mucositis (RIOM) in patients with nasopharyngeal carcinoma, to implement and observe the effect.Methods:Using the convenient a sampling method, a total of 182 patients with nasopharyngeal carcinoma who underwent radiotherapy and chemotherapy in Cancer Hospital of The University of China Academy of Sciences from July 2019 to June 2020 were selected as the research objects. A total of 91 patients from July to December 2019 were set as the control group and they received conventional radiotherapy care. A total of 91 patients from January to June 2020 were set as the intervention group. On the basis of the control group, the intervention group adopted conventional radiotherapy nursing and implemented the care blueprint based on the action study method. The incidence, severity and pain of RIOM were compared between the two groups.Results:In the 3rd to 5th week of radiotherapy, the incidences of RIOM in the intervention group were lower than those in the control group, and the differences were statistically significant ( P<0.05) . At week 3 and after radiotherapy, the severity of RIOM in the intervention group were less than those in the control group, and the differences were statistically significant ( P <0.05) . At the end of radiotherapy, the degree of oral pain in the intervention group was lighter than that in the control group, and the difference was statistically significant ( P< 0.05) . Conclusions:RIOM care blueprint constructed in this study is scientific and valid. Evidence-based RIOM care blueprint can reduce the incidence and severity of RIOM in nasopharyngeal cancer patients and relieve oral pain, which is worthy of clinical application.