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題名:口腔黏膜改變患者之照護
書刊名:長庚護理
作者:吳樺姍
作者(外文):Wu, Hua-shan
出版日期:2002
卷期:13:3=39
頁次:頁251-257
主題關鍵詞:口腔照護口腔黏膜改變Oral careOral mucous membrane altered
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(4) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:4
  • 共同引用共同引用:19
  • 點閱點閱:59
     接受化學治療或頭頸部放射線治療的病患約有一半左右的病人經歷“口腔黏膜改變”的問題。病患一旦經歷口腔黏膜損傷,會由起初輕微的口乾以致嚴重疼痛,進而減少飲食及液體攝取、味覺降低、吞嚥困難等,使得自尊、身體心像受損及產生社會隔離的情形。加之病患抵抗力不足,造成系統性感染,便是導致癌症病患死亡的原因。就口腔黏膜改變的病患而言,口腔照護是主要獨立性護理措施,有效及完善的口腔照護有助於病患維持口腔於一正常功能狀態,目前臨床照護口腔炎之清潔技術、工具及頻率不盡相同,且無一合適評估口腔黏膜變化的工具。故在此引證口腔照護相關文獻,提供臨床護理人員參考及行為修正,期能為病患規劃出標準、完善之口腔照護計畫,以彰顯護理照護品質。
     Half of all cancer patients experience oral mucous membrane changes during chemotherapy or radiotherapy. Often mild thirst is the first symptom they experience. Other symptoms include a reduced sense of taste, severe pain, and difficulty swallowing. Progression of symptoms results in decreased intake and can lead to low self-esteem, body image changes, and social isolation. Moreover, immune insufficiency may cause systemic infections and death. For patients with oral mucous membrane altered, oral care is the main independent nursing intervention. Effective and complete oral hygiene helps maintain the cancer patient's normal oral cavity status. However, current nursing care standards for cleaning techniques and tools and for frequency of care for stomatitis vary. Moreover, an appropriate assessment tool is also lacking. Therefore, the purpose of this paper was to review the literature in order to provide references and information for nurses who care for cancer patients with oral mucous changes. Findings will help nurses develop uniform nursing care standards so that they can develop and implement a plan for appropriate oral hygiene and improve the quality of care cancer patients.
期刊論文
1.廖美南、朱淑媛(19921200)。癌症病患口腔護理。長庚護理,3(2)=6,79-84。new window  延伸查詢new window
2.Coleman, S.(1995)。An overview of the oral complication of adult patients with malignant hematological conditions who have undergone radiotherapy or chemotherapy。Journal of Advanced Nursing,22(6),1085-1091。  new window
3.Clarke, G.(1993)。Mouth care and the hospitalized patient。British Journal of Nursing,12(4),225-227。  new window
4.Bruya, M. A.、Madeira, N. P.(1975)。Stomatitis after chemotherapy。American Journal of Nursing,75(8),1349-1352。  new window
5.Armstrong, T. S.(1994)。Stomatitis in the bone marrow transplant patient。Cancer Nursing,17(5),403-410。  new window
6.Adams, R.(1996)。Qualified nurses lack adequate knowledge related to oral health, resulting in inadequate oral care of patients on medical wards。Journal of Advanced Nursing,24(3),552-560。  new window
7.Harrel, J. S.、Damon, J. F.(1989)。Prediction of patients' need for mouth care。Western Journal of Nursing Research,11(6),748-755。  new window
8.Galbraith, L. K.、Bailey, D.、Kelly, L.、Rehn, K.、Spear, S.、Steinle, C.、Vaughn, G.、Wehage, S.(1991)。Treatment for alternation on oral mucosa related to chemotherapy。Pediatric Nursing,17(3),233-236。  new window
9.Eilers, J.、Berger, A. M.、Petersen, M. C.(1988)。DevelopmDevelopment, testing, and application of oral assessment guide。Oncology Nursing Forum,15(3),325-330。  new window
10.DeWalt, E. M.(1975)。Effect of timed hygienic measures on oral mucosa in a group of elderly subjects。Nursing Research,24(2),104-108。  new window
11.Madeya, M. L.(1996)。Oral complications from cancer therapy: Pathophysiology and secondary complications。Oncology Nursing Forum,23(5),801-818。  new window
12.Larson, P. L.、Miaskowski, C.、MacPhail, L.、Dodd, M. J.、Greenspan, D.、Dibble, S. L.、Paul, S. M.、Ignoffo, R.(1998)。The PRO-SELF Mouth Aware program: An effective approach for reducing chemotherapy-induced mucositis。Cancer Nursing,21(4),263-268。  new window
13.Kennedy, L.、Diamond, J.(1997)。Assessment and management of chemotherapy induced mucositis in children。Journal of Pediatric Oncology Nursing,14(3),164-174。  new window
14.Jones, C. V.(1998)。The importance of oral hygiene in nutritional support。British Journal of Nursing,7(2),74-83。  new window
15.Wallace, K. G.、Senko, A.、Thomas, C.(1997)。Effect of attitudes and subjective norms on intention to provide oral care to patients receiving antineoplastic chemotherapy。Cancer Nursing,20(1),34-41。  new window
16.Thurgood, G.(1994)。Nurse maintenance of oral hygiene。British Journal of Nursing,3(7),332-353。  new window
17.Moore, J.(1995)。Assessment of nurse-administered oral hygiene。Nursing Times,91(9),40-41。  new window
18.楊翠雲、高紀惠、馬素華、賴允亮、陳君侃(19960900)。頭頸部放射線療法之癌症病人施行口腔護理方案成效之探討。長庚護理,7(3)=15,15-29。new window  延伸查詢new window
19.楊翠雲、高紀惠(19960600)。頭頸部放射線治療患者的口腔粘膜護理方案。長庚護理,7(2)=14,76-81。new window  延伸查詢new window
20.Focazio, B.(1997)。Mucositis。American Journal of Nursing,97(12),48-50。  new window
21.胡月娟、高紀惠(19900600)。口腔護理方案對急性白血病患者口腔粘膜改變成效之探討。護理雜誌,37(2),21-34。new window  延伸查詢new window
22.林靜琪(19980400)。化學治療引起口腔黏膜潰瘍之文獻探討。護理雜誌,45(2),79-84。new window  延伸查詢new window
圖書論文
1.McFarland, G. K.、McFarlane, E. A.(1997)。Altered oral mucous membrane。Nursing Diagnosis and Intervention。St. Louis:Mosby。  new window
 
 
 
 
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