肿瘤科护士对放化疗患者口腔评估的现状调查分析

Oral assessment practices among oncology nurses: a questionnaire survey

目的探讨肿瘤科护士对放化疗患者口腔评估的现状,为规范放化疗患者口腔评估和预防口腔并发症提供依据。方法采用便利抽样法,抽取肿瘤科护士198名,对放化疗患者口腔评估现状进行问卷调查。结果12.63%护士对口腔并发症出现前的初次放化疗患者进行口腔评估,其中12.63%使用评估工具进行评估;97.98%护士对出现口腔并发症患者进行口腔评估,其中46.97%使用评估工具;42.93%护士对再入院化疗患者进行口腔评估,其中10.10%使用评估工具。结论护士对口腔并发症发生前和再入院化疗患者的口腔评估重视不够,评估内容不足,且缺乏针对性口腔评估工具。应加强未发生口腔并发症患者和再入院患者的口腔评估,并完善评估内容与流程,制定针对性评估工具。

Objective To assess oncology nurses′practices regarding oral assessment for patients on radiochemotherapy treatment,and to provide reference for standardizing oral assessment and preventing oral complications.Methods A total of 198 oncology nurses were selected by convenience sampling and were invited to complete a questionnaire survey in terms of their practices regarding oral assessment for patients on radiochemotherapy treatment.Results Only 12.63%of the respondents performed oral assessment for patients initially receiving radiochemotherapy before the occurrence of oral complications and 12.63%of them used assessment tools.About 97.98%of the nurses conducted oral assessment when patients developed oral complications and 46.97%used assessment tools.More than forty percent(42.93%)of the nurses performed oral assessment for rehospitalized patients and 10.10%used assessment tools.Conclusion Nurses paid less attention to oral assessment for patients without oral complications before radiochemotherapy treatment and for those who were rehospitalized for treatment,and they generally were inadequate to perform oral assessment.At the same time,there was a shortage of targeted oral assessment tool.Oral assessment should be strengthened in patients before radiochemotherapy treatment and in rehospitalized patients.The assessment contents and process should be improved as well as the assessment tool should be designed.