循证护理在白血病化疗患者口腔溃疡中的应用  

Application of evidence-based nursing on preventing oral ulcer in leukemia patients during chemotherapy

作　　者：来晓玲 吕红姣[2] 徐光萍 卢增华 

机构地区：[1]浙江省龙游县人民医院内四科,衢州324400 [2]浙江省衢州市人民医院血液内科,324000

出　　处：《中华现代护理杂志》2015年第15期1817-1819,共3页Chinese Journal of Modern Nursing

摘　　要：目的：探讨循证护理对于化疗期白血病患者口腔溃疡的干预效果。方法2014年1—10月采用便利抽样法选择60例白血病患者为观察组,应用循证护理模式,找出存在的共性问题,针对问题实施具体护理措施,包括健康宣教、口腔pH值矫正、冰水含漱及口腔溃疡分度护理。回顾分析2013年4—12月（实施循证护理前）60例白血病化疗患者的病历资料作为对照组。对比两组口腔溃疡发生率及愈合情况。结果观察组口腔溃疡发生率为21.67%（13/60）,对照组为60.00%（36/60）,差异有统计学意义（χ2=5.964,P〈0.05）。观察组溃疡愈合时间为（4.23±2.14） d,对照组为（7.15±2.44） d,观察组恢复时间短于对照组,差异有统计学意义（t=4.614,P〈0.05）。结论将循证护理应用于白血病化疗患者口腔溃疡的干预,能够降低口腔溃疡的发生率,促进发生的溃疡早期愈合,效果良好。Objective To investigate the effect of evidence-based nursing on oral ulcer of leukemia patients undergoing chemotherapy. Methods A total of 60 leukemia patients in our hospital from January 2014 to October 2014 were enrolled as observation group, and given evidence-based nursing intervention including health education, pH adjustment of mouth, mouthwash by ice water, and oral ulcer nursing according to the degree. Clinical data of 60 leukemia patients from April to December 2013 before the implementation of evidence-based nursing（ control group） was retrospectively analyzed and the incidence rate and recovery of oral ulcer were compared. Results The incidence rate of oral ulcer in observation group （21. 67%, 13/60） was lower than that in the control group （60. 00%,36/60） （χ2 =5. 964,P〈0. 05）; the healing time of oral ulcer in the observation group （4.23 ±2.14）d was shorter than that in the control group （7.15 ±2.44）d （t =4. 614,P〈0. 05）. Conclusions Taking evidence-based nursing in leukemia patients can promote the quality of nursing care, reduce the incidence of oral ulcer, and improve the rehabilitation effect.

关 键 词：白血病 循证护理 口腔溃疡 化学疗法 

分 类 号：R473.73[医药卫生—护理学]