Madeya M L
Outpatient Services, University of Pittsburgh Cancer Institute, PA, USA.
Oncol Nurs Forum. 1996 Jun;23(5):808-19.
PURPOSE/OBJECTIVES: To review nursing assessment and implications of oral complications from cancer therapy.
Published articles, books, and monographs.
Cancer and cancer therapy disturb the normal integrity and function of the oral cavity, leading to alterations in structure and function. Secondary complications can be acute or chronic and often interfere in the prescribed course of therapy. An ongoing oral assessment must be performed to promote the early identification of oral complications. The application of effective, long-lasting interventions can help to minimize the risk of developing secondary complications.
Coordination of efforts between nursing, medicine, and dentistry is critical to the prevention, management, and resolution of oral complications. Continued research on this subject is needed.
Nurses need to perform ongoing oral assessments on all patients to identify complications early. By teaching patients and significant others how to perform oral assessments correctly, they can report oral changes. Interventions such as pretherapy dental evaluation, mouth-care products and regimens, antibiotic therapy, and analgesic therapy can decrease oral discomfort and resolve and prevent oral complications.
目的/目标：回顾癌症治疗引起的口腔并发症的护理评估及相关影响。
已发表的文章、书籍和专著。
癌症及癌症治疗会破坏口腔的正常完整性和功能，导致结构和功能改变。继发性并发症可能是急性或慢性的，常干扰规定的治疗疗程。必须持续进行口腔评估以促进口腔并发症的早期识别。应用有效、持久的干预措施有助于将发生继发性并发症的风险降至最低。
护理、医学和牙科之间的协作对于口腔并发症的预防、管理和解决至关重要。需要继续对此课题进行研究。
护士需要对所有患者持续进行口腔评估以早期识别并发症。通过教导患者及其重要他人如何正确进行口腔评估，他们能够报告口腔变化。诸如治疗前牙科评估、口腔护理产品和方案、抗生素治疗及镇痛治疗等干预措施可减轻口腔不适，解决并预防口腔并发症。
