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김영희 ( Kim Young-Hee ) - 양산부산대학교병원 간호부
정희영 ( Jung Hee-Young ) - 부산여자대학교 간호학과
이해정 ( Lee Hae-Jung ) - 부산대학교 간호학과
정문주 ( Jung Moon-Joo ) - 양산부산대학교병원 간호부
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Abstract
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본 연구는 시각화된 교육매체를 활용한 구강자가간호 교육이 항암화학요법치료를 받고 있는 소아 암환자들의 구내염 발생과 구강자가간호수행 정도에 미치는 효과를 파악하고자 시도된 비동등성 대조군 시차설계 유사실험연구로, 본 연구에서 개발한 시각적 교육매체를 활용한 교육은 구강자가간호수행 정도를 향상시키는 것으로 나타났다. 이러한 결과를 기초로 시각적 교육매체의 활용과 지속적 피드백과 격려를 포함하는 구강자가간호의 활성화가 필요함을 알 수 있었다. 하지만 본 연구에 참여한 대상자의 구강자가간호수행 정도는 증가하였으나 구내염 발생에는 유의한 효과가 없는 것으로 나타나, 구내염 발생을 예방하기 위한 좀 더 효과적인 다각적 전략개발이 필요한 것으로 생각된다. 또한 본 연구는 일 대학병원의 소아과 병동에 입원한 환자를 대상으로 실시한 소규모 연구로 Type 2 오류 가능성을 배제하기 어렵다. 추후 좀 더 많은 대상자를 포함한 반복연구를 통한 교육의 효과검정이 필요하다고 하겠다.
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Purpose: In this study, we aimed to investigate the effects of oral self-care education on the oral mucositis and oral self-care performance in pediatric cancer patients undergoing chemotherapy.
Methods: We conducted the study using the nonequivalent control group and non-synchronized design, and invited pediatric cancer patients, admitted to a university hospital for chemotherapy, to participate in the study. Data collection was completed for the control group first and proceeded to the experimental group. The data were collected from September 24 to November 5, 2015. Twenty children were enrolled in the study and divided into two groups: experimental (n=10) and control (n=10) groups. The children in the experimental group, along with their parents, were provided with a 10-minute flash animation and a brochure, both explaining oral self-care practices. Children in the groups were evaluated for the status of oral mucositis and their ability to perform oral self-care before chemotherapy, as well as at 3, 7, 14, and 21 days after the administration of chemotherapy. Descriptive statistics, t-test, chi-square, Fisher’s exact test, and repeated measures ANOVA were utilized to test the homogeneity of variance between the two groups and examine the effectiveness of the oral self-care education.
Results: Children in the experimental group showed significant improvement in oral self-care performance compared to the control group post oral self-care education.
Conclusion: Promoting oral self-care practices is an important nursing intervention in the prevention of oral mucositis in pediatric cancer patients. Inclusion of advanced smart technology, such as the use of flash animation, to facilitate nursing intervention could enhance the effectiveness of the intervention in young cancer patients. Broader application of smart technology in patient education is warranted.
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KeyWords
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chemotherapy, pediatric nursing, mucositis, oral hygiene, education
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원문 및 링크아웃 정보
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등재저널 정보
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