Evidence-based practice to reduce the incidence of severe oral mucositis in patients undergoing hematopoietic stem cell transplantation
10.3969/j.issn.1673-9701.2024.12.012
- VernacularTitle:降低造血干细胞移植患者重度口腔黏膜炎发生率的循证实践
- Author:
Li YUAN
1
;
Meihua CHEN
1
Author Information
1. Department of Lymphoma, Zhejiang Cancer Hospital, Hangzhou 310022, Zhejiang, China
- Publication Type:Journal Article
- Keywords:
Hematopoietic stem cell transplantationoral;
Mucositis;
Evidence-based practice
- From:
China Modern Doctor
2024;62(12):53-56
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effect of evidence-based practice on reducing the incidence of severe oral mucositis in patients undergoing hematopoietic stem cell transplantation.Methods A multidisciplinary team was set up to carry out quality control circle activities according to the Australia Joanna Briggs Institute evidence-based health care model.Evidence-based evidence was combined with continuous quality improvement to evaluate the obstacle factors and promoting factors in the implementation process,and an evidence-based practice plan was constructed.The practice reform was carried out from three aspects:Formulating the grading nursing process of oral mucositis,improving the evaluation tools and strengthening the health education of patients.The incidence of severe oral mucositis,average hospitalization days and oral health-related quality of life of patients with hematopoietic stem cell transplantation before and after the practice were compared.Results After evidence-based nursing practice,the incidence of severe oral mucositis decreased from 67%to 34%.The average length of hospital stay decreased from 25.93 days to 24.70 days,and the average score of oral health-related quality of life decreased from 28.0 points to 17.5 points.The difference was statistically significant(P<0.05).Conclusion By introducing evidence,quality control circle activities can effectively reduce the incidence of severe oral mucositis and average hospitalization days in patients with hematopoietic stem cell transplantation,improve the oral health-related quality of life of patients.
