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反示教法对血液病化疗口腔黏膜炎的预防价值

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目的 探讨反示教法对血液病化疗口腔黏膜炎的预防价值。方法 选取 2022 年 3 月—2023 年 3 月厦门大学附属第一医院收治的 100 例血液病患者,将 2022 年 3-8 月收治的 50例患者作为对照组,2022 年 9 月—2023 年 3 月收治的 50 例患者作为观察组。对照组采用常规护理,而观察组接受反示教法,比较 2 组患者对口腔健康知信行情况,口腔黏膜炎症严重程度以及患者对护理的满意度。结果 干预后,2 组口腔健康知信行问卷知识层面、信念层面、行为层面评分均上升(P<0。05);观察组口腔健康知信行问卷知识层面、信念层面、行为层面评分高于对照组(P<0。05);干预后,观察组口腔黏膜炎总发生率为18。00%(9/50),低于对照组的52。00%(26/50)(P<0。05);干预后,观察组中国医院住院患者体验和满意监测量表(Chinese hospital patient experience and satisfaction monitor,CHPESMS)可及入院、投诉与意见管理以及环境与后勤管理评分与对照组比较,差异无统计学意义(P>0。05);但观察组一般住院服务、治疗服务以及出院指导维度评分高于对照组,差异有统计学意义(P<0。05)。结论 反示教法相较于常规护理,不仅能增长血液病化疗患者口腔相关卫生知识,强化信念,提升口腔相关卫生健康行为,还能降低口腔黏膜炎症发生率,提升患者对一般住院服务、治疗服务以及出院指导服务的满意度。
The Preventive Value of Reverse Teaching Method for Oral Mucosal Inflammation Caused by Chemotherapy in Hematological Diseases
Objective To explore the preventive value of reverse teaching method for oral mucosal inflammation caused by chemotherapy in hematological diseases.Methods A total of 100 patients with hematological diseases admitted to the First Affiliated Hospital of Xiamen University from March 2022 to March 2023 were selected,50 patients admitted from March to August 2022 were selected as the control group,and 50 patients admitted from September 2022 to March 2023 were selected as the observation group.The control group received routine nursing,while the observation group received reverse teaching nursing.The knowledge and practice of oral health,the severity of oral mucosal inflammation and the satisfaction of patients with nursing were compared between the two groups.Results After intervention,the scores of knowledge level,belief level and behavior level were increased in both groups(P<0.05).The scores of knowledge,belief and behavior in oral health questionnaire in observation group were higher than those in control group(P<0.05).After intervention,the total incidence of oral mucositis in the observation group was 18.00%(9/50),lower than that in the control group 52.00%(26/50)(P<0.05).After intervention,the scores of Chinese hospital patient experience and satisfaction monitor(CHPESMS)accessibility to hospital admission,complaint and opinion management,and environment and logistics management in the observation group were not significantly different from those in the control group(P>0.05),but the dimension scores of general hospitalization service,treatment service and discharge guidance in the observation group were higher than those in the control group,with statistical significance(P<0.05).Conclusion Compared with conventional care,the reverse teaching method can not only significantly increase oral hygiene knowledge,strengthen beliefs,and improve oral hygiene and health behaviors in hematological chemotherapy patients,but also reduce the incidence of oral mucosal inflammation and improve patients'satisfaction with general hospitalization services,treatment services,and discharge guidance services.

hematologyoral mucosal inflammationreverse teaching methodoral healtheffective preventionsatisfaction

林珠豆、李志峰、林莽市

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厦门大学附属第一医院血液科,福建 厦门 361003

厦门大学附属第一医院杏林分院骨科,福建厦门 361000

血液病 口腔黏膜炎 反示教法 口腔健康 有效预防 满意度

福建省卫生健康中青年骨干人才培养项目

2020GGB054

2024

中国卫生标准管理
《中国卫生标准管理》杂志社

中国卫生标准管理

影响因子:1.374
ISSN:1674-9316
年,卷(期):2024.15(4)
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