Perianal Injury Prevention in Patients With Leukemia.

IF 1.3 4区 医学 Q3 NURSING Clinical journal of oncology nursing Pub Date : 2024-03-15 DOI:10.1188/24.CJON.149-156
Cindy Paredes, Katie Reed, LaTarvia Moore, Jeannine M Brant
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Abstract

Background: Perianal injuries in adults with hematologic malignancies can result in sepsis or death. Patients on a 36-bed acute care oncology unit experienced increased perianal injuries from 2018 to 2021 based on a chart review, which revealed that 24 patients with leukemia, all of whom had received cytarabine, developed perianal injuries.

Objectives: This study examined whether a nurse-led educational intervention would decrease perianal injuries.

Methods: A survey examined baseline nurse knowledge on perianal injuries. Nurses received a 10-minute in-service education session about perianal injuries, their predisposing factors, and prevention strategies followed by a survey to test their knowledge. Twenty nurses completed the pre- and postintervention surveys.

Findings: After the intervention, staff knowledge increased by 33%. One year postintervention, perianal injuries had decreased by more than 50%. Nurse and patient education are vital to decrease perianal injuries in patients with leukemia.

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预防白血病患者的肛周损伤
背景:成人血液系统恶性肿瘤患者的肛周损伤可导致败血症或死亡。2018年至2021年,一个拥有36张病床的急诊肿瘤科的患者肛周损伤增加,根据病历回顾,24名白血病患者出现了肛周损伤,这些患者均接受过阿糖胞苷治疗:本研究探讨了护士主导的教育干预能否减少肛周损伤:方法:通过调查了解护士对肛周损伤的基本认识。护士们接受了 10 分钟的在职教育课程,内容涉及肛周损伤、其诱发因素和预防策略,随后进行了一项调查以测试她们的知识水平。20 名护士完成了干预前后的调查:干预后,员工的知识水平提高了 33%。干预一年后,肛周损伤减少了 50%以上。护士和患者教育对减少白血病患者肛周损伤至关重要。
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来源期刊
CiteScore
1.70
自引率
9.10%
发文量
127
审稿时长
6-12 weeks
期刊介绍: The Clinical Journal of Oncology Nursing (CJON) is an official publication of the Oncology Nursing Society (ONS) and is directed to the practicing nurse specializing in the care of patients with an actual or potential diagnosis of cancer. CJON is a vehicle to promote the mission of ONS, which is to advance excellence in oncology nursing and quality cancer care. The CJON mission is twofold: to provide practical information necessary to care for patients and their families across the cancer continuum and to develop publication skills in oncology nurses.
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