Implementation of an oral care standard for leukemia and transplantation patients.
Implementation of an oral care standard for leukemia and transplantation patients.
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实施白血病和移植患者的口腔护理标准。
DOI：
10.1097/00002820-200002000-00006
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发表时间：
2000
期刊：
影响因子：
--
通讯作者：
McGuire,DB
中科院分区：
文献类型：
--
作者：
Yeager,KA;Webster,J;Crain,M;Kasow,J;McGuire,DB
该项目的目的是在一所大学医院的两个护理单位制定口腔护理标准，为接受骨髓或干细胞移植（BMSCT）和其他白血病治疗的患者提供护理。在这一跨学科的努力中使用的战略包括合作，咨询，教育和评估。在合作阶段，一个核心的护士小组与工作人员讨论当前的做法，审查文献和出版的标准，检查其他机构的协议，决定目标，并制定标准。在完成标准之前咨询牙医、药剂师和医生。教育阶段包括护士和技术人员的在职培训。评估阶段分为两个阶段，重点是检查是否达到了目标，包括耐受性和依从性。第一阶段允许识别问题区域和随后的修订，而第二阶段在稍后的时间点评估遵守情况。总体而言，大多数患者遵守标准。未来的影响包括具体的建议，如强调口腔护理，文件，病人和工作人员的教育。这个项目是护士如何应对实施可接受的口腔护理标准以减少患者口腔并发症和痛苦的挑战的一个例子。
The purpose of this project was to develop an oral care standard on two nursing units in a university hospital where care was given to patients undergoing bone marrow or stem cell transplantation (BMSCT) and other treatments for leukemia. Strategies used in this interdisciplinary effort included collaboration, consultation, education, and evaluation. In the collaboration phase, a core group of nurses talked with staff about current practices, reviewed literature and published standards, examined protocols from other institutions, decided on goals, and developed the standard. Consultation with a dentist, pharmacist, and physician occurred before completion of the standard. The education phase included in-service sessions for nurses and technicians. The evaluation phase, which occurred in two phases, focused on checking to see if the goals had been met, including tolerability and adherence. The first phase allowed identification of problem areas and subsequent revisions, whereas the second phase evaluated adherence at a later time point. Overall, most of the patients adhered to the standard. Future implications include specific recommendations such as an emphasis on oral care, documentation, and patient and staff education. This project is an example of how nurses addressed the challenge of implementing an acceptable oral care standard to decrease patients’ oral complications and distress.