• 건강소식
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• v.2 no.10 s.13
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• pp.14-17
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• 1974

흔히 여러 가지 형태로 나타나는 구강점막의 염증을 한데 일컬어서 구내염이라고 부르고 있다. 그러나 실지로는 이들 구내염의 원인이 많고 또한 복잡하며 때로는 원인을 잘 모르는 것이 있는가 하면 서로 다른 원인에 의해서 생긴 구내염도 구강 내에 들어온 여러 가지 세균에 의해서 이차적 감염을 일으켰을 때에는 같은 형태나 증상을 나타내는 경우가 있으며 바이러스나 진균에 의해서 또는 전신질환의 분증으로서도 발생되기 때문에 이들을 일률적으로 분류해서 이야기 하기는 어려우나 대체로 임상적인 면에서 다음과 같이 나누어 설명할 수가 있다.

• Asian Oncology Nursing
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• v.10 no.2
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• pp.119-128
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• 2010

Purpose: This study aimed to evaluate the effectiveness of continuous nutritional education and oral mucositis management on the nutritive status of patients who received hematopoietic stem cell transplantation (HSCT). Methods: After randomly allotting 72 patients who received HSCT to either an experimental group or a control group, intensive and continuous care for preventing malnutrition was conducted in the experimental group while usual routine care was conducted in the control group. The changes of the body scale, blood chemistry profile, oral intake calories, nausea and vomitus, and oral stomatitis scores were measured at three points during their hospitalization using a oral assessment guide and nutrition analysis program: admission, HSCT, and discharge day. The differences between the scores of two groups were analyzed by repeated measures analysis of covariance. Results: The number of total lymphocytes was significantly improved in the experimental group after transplantation (p<.001). Nausea and vomiting score was significantly decreased in the experimental group during the conditioning regimen (p<.001). Conclusion: It was found that continuous nutritional education and oral mucositis control is an effective intervention by improving immune condition. Further investigations concerning direct examination of oral intake with controlling the effect of the chemotherapy are needed to ultimately discern the impact of varying oral nutrition patterns during HSCT.