CAJ | 학술논문

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。
목적：탐토순증호리대우화료기백혈병환자구강궤양적간예효과。방법2014년1—10월채용편리추양법선택60례백혈병환자위관찰조,응용순증호리모식,조출존재적공성문제,침대문제실시구체호리조시,포괄건강선교、구강pH치교정、빙수함수급구강궤양분도호리。회고분석2013년4—12월(실시순증호리전)60례백혈병화료환자적병력자료작위대조조。대비량조구강궤양발생솔급유합정황。결과관찰조구강궤양발생솔위21.67%(13/60),대조조위60.00%(36/60),차이유통계학의의(χ2=5.964,P<0.05)。관찰조궤양유합시간위(4.23±2.14) d,대조조위(7.15±2.44) d,관찰조회복시간단우대조조,차이유통계학의의(t=4.614,P<0.05)。결론장순증호리응용우백혈병화료환자구강궤양적간예,능구강저구강궤양적발생솔,촉진발생적궤양조기유합,효과량호。
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.