Bauer Carole, Laszewski Pamela, Magnan Morris
Wound, Ostomy, and Continence Care, Barbara Ann Karmanos Cancer Center, Detroit, MI.
Radiation Oncology Center, Barbara Ann Karmanos Cancer Center, Detroit, MI.
Clin J Oncol Nurs. 2015 Apr;19(2):196-203. doi: 10.1188/15.CJON.196-203.
The effects of radiation on the skin are particularly troublesome for patients and can result in impaired quality of life and an inability to perform activities of daily living. Skin care during radiation therapy is needed to prevent and treat radiation dermatitis. Patient adherence to prescribed skin care protocols is paramount to an optimal outcome but not always monitored closely.
The focus of this study was to optimize patient adherence to the Oncology Nursing Society's Putting Evidence Into Practice recommendations for skin care during radiation therapy.
A multidimensional approach was used to enhance adherence to the skin care protocol. Outcomes measured included adherence, patient satisfaction, and skin condition.
Five interacting dimensions affect adherence.
辐射对皮肤的影响给患者带来了特别大的困扰,可能导致生活质量下降以及无法进行日常生活活动。放射治疗期间需要进行皮肤护理以预防和治疗放射性皮炎。患者遵守规定的皮肤护理方案对于获得最佳治疗效果至关重要,但并非总是受到密切监测。
本研究的重点是优化患者对肿瘤护理学会将证据应用于实践的放射治疗期间皮肤护理建议的遵守情况。
采用多维度方法来提高对皮肤护理方案的遵守情况。测量的结果包括遵守情况、患者满意度和皮肤状况。
五个相互作用的维度影响遵守情况。