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护士对癌症治疗相关口腔黏膜炎的评估和管理的知识。

Nurses' knowledge on assessment and management of cancer therapy-associated oral mucositis.

机构信息

Komfo Anokye Teaching Hospital, Kumasi, Ghana.

International Maritime Hospital, Accra, Ghana.

出版信息

Nurs Open. 2023 Nov;10(11):7292-7300. doi: 10.1002/nop2.1982. Epub 2023 Aug 26.

Abstract

AIM

This study aimed to explore baseline nursing knowledge on assessment and management of patients at risk for developing cancer therapy-associated oral mucositis (OM) at a tertiary hospital in Ghana.

DESIGN

A descriptive generic qualitative study design was conducted. The study population were nurses who cared for patients diagnosed with cancer.

METHODS

Participants were recruited using a purposive non-probability sampling technique. Data were obtained through face-to-face interviews using semi-structured interview guide. Data collection and analysis were done concurrently.

RESULTS

The study found that nurses had knowledge on the pre-treatment assessment of clients undergoing cancer treatment; however, they had insufficient knowledge on the standardized tool for the assessment of OM. They also lack a definitive approach to prevent and treat OM. Nurses provided general education on cancer treatment but paid little attention to the education on the possible side effect that includes OM. Additionally, insufficient knowledge level of nurses on cancer treatment-associated mucositis and lack of structured protocol for OM coupled with unavailable tools for assessing the oral mucosa were also identified as militating against the management of OM. Findings from this study will guide policy that will improve the care that clients who are at risk of oral mucositis receive.

摘要

目的

本研究旨在探讨加纳一家三级医院的护士在癌症治疗相关口腔黏膜炎(OM)风险患者的评估和管理方面的基线护理知识。

设计

采用描述性通用定性研究设计。研究人群为护理癌症患者的护士。

方法

采用目的非概率抽样技术招募参与者。通过使用半结构化访谈指南进行面对面访谈获得数据。数据收集和分析同时进行。

结果

研究发现,护士对接受癌症治疗的患者进行治疗前评估方面有一定的知识;然而,他们对 OM 的标准化评估工具知之甚少。他们也缺乏预防和治疗 OM 的明确方法。护士提供了关于癌症治疗的一般教育,但很少关注可能的副作用,包括 OM。此外,护士对癌症治疗相关黏膜炎的知识水平不足,以及缺乏 OM 的结构化方案,加上缺乏评估口腔黏膜的工具,也被认为是 OM 管理的障碍。本研究的结果将指导政策,以改善接受口腔黏膜炎风险的患者的护理。

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