放射性口腔黏膜炎患者的集束化循证护理  

Bundle Evidence-based Nursing for Patients with Radiation-induced Oral Mucositis

作　　者：张凤玲[1] 刘美[1] 陈凤菊[1] 曾铁英[2] 

机构地区：[1]华中科技大学同济医学院附属同济医院肿瘤科,湖北武汉430000 [2]华中科技大学同济医学院附属同济医院护理部,湖北武汉430000

出　　处：《护理学报》2016年第1期56-61,共6页Journal of Nursing（China）

基　　金：2013年湖北省自然科学基金项目(2013CFB148);2014年华中科技大学同济医学院附属同济医院院基金项目(2201201192)

摘　　要：目的形成一种集束化的临床护理路径为放射性口腔黏膜炎患者提供优质的护理。方法建立循证护理专家团队,检索The Cochrane Library、JBI、Pub Med、中国知网、万方数据库和中国生物医学文献数据库等关于放射性口腔黏膜炎护理干预的相关文献,并进行评价、整理和归类,制定放射性口腔黏膜炎的循证护理实践路径,对相关人员进行培训,应用于临床实践。将2014年12月—2015年6月运用循证护理实践路径的42例放射性口腔黏膜炎患者作为干预组,2014年5—11月未纳入循证实践流程的40例患者作为对照组,比较2组患者相关症状。结果干预组患者在体质量下降、症状持续时间、口腔疼痛、口腔干燥、进食困扰、睡眠受损方面均显著优于对照组,差异有统计学意义(P<0.05)。结论循证护理对改善临床护理工作具有重要意义,体现了护理工作的科学性,而集束化体现了护理工作的连贯性与整体性,将一系列循证证据应用于放射性口腔黏膜炎患者的整体照护,提高了患者症状管理的有效性,改善了患者的舒适度。Objective To develop a bundle clinical nursing pathway for patients with RTOM （radiation-induced oral mucositis）. Methods An evidence-based nursing team was established to retrieve and analyze articles on RTOM from The Cochrane Library, JBI, PubMed, CNKI, WANGFANG Database and SinoMed then evidence-based nursing pathway was developed and related training was conducted for nursing staff. Forty-two patients with RTOM receiving evidence-based nursing from December 2014 to June 2015 were included in intervention group and another forty patients from May to November 2014 in control group. Symptoms of patients in both groups were compared. Results In terms of decreasing of body mass, duration of symptoms, oral pain, xerostomia, feeding disturbance and sleep quality, patients in intervention group performed better and the difference was statistical significant （ P＆lt;0.05）. Conclusion Bundle evidence-based nursing plays a significant role in clinical nursing and comprehensive nursing with evidences foster the efficiency of nursing and the improvement of patients comfort.

关 键 词：放射性口腔黏膜炎 集束化护理 循证护理 

分 类 号：R473.73[医药卫生—护理学] R47[医药卫生—临床医学]