MV X 5 6 Common Terminology Criteria for Adverse Events Grade 1 Grade Gy 16 QOL QOL 5 6 7, 8 9, VOL.3 NO

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1 乳がん患者の放射線皮膚炎に対するスキンケアの指導の実際 がん放射線療法看護認定看護師とがん放射線治療に携わる看護師との比較 Educating practice of skin care for radiodermatitis of breast cancer patients: Comparison of the nurses with certified nurse in radiation therapy nursing and nurses doing cancer radiation therapy 福 Yasuyo FUKUSHI 士泰世井瀧千恵子 Chieko ITAKI Key words radiodermatitis, skin care, breast cancer CN NS 2 χ 2 CN CN CN NS CN The aim of this study was to show Japanese educating practice of skin care for radiodermatitis of breast cancer outpatients. 321 curative facilities in total were chosen from 296 facilities belonging to Japanese Society for Therapeutic Radiology and Oncology JASTRO and 114 facilities that Certified Nurses in Radiation Therapy Nursing CN belong to, excluding overlapping facilities. Subjects of this question were nurses doing radiotherapy RT of outpatients. One nurse chosen by each facility answered the questionnaire survey for instruction of skin care about timing RT. We divided the nurses into CN and NS groups, and analyzed all the collected data by using the chi-square test, and compared nursing practice of the CN with that of NS. The ratio of CN washing irradiated site using soap during RT was significantly higher than NS. The ratio of CN washing irradiated site using mild soap and lathering the foam when using soap was significantly higher than NS. From comparing nursing practice of the CN with that of NS, it was shown that the CNs were practicing skin care based on recommended skin care for radiodermatitis by literatures. Hirosaki University Graduate School of Health Sciences VOL.3 NO

2 MV X 5 6 Common Terminology Criteria for Adverse Events Grade 1 Grade Gy 16 QOL QOL 5 6 7, 8 9, VOL.3 NO

3 , 13, 17 CN NS 2 IBM SPSS Statistics 22 χ 2 5% % CN % NS % CN 114 NS 207 NS CN 0 0% NS 1 1.2% CN % NS % CN % NS % CN % NS % 60 CN 0 0% NS 6 7.1% 60 NS p n 150 n 142 * p 0.05, ** p 0.01 CN NS * ** ** VOL.3 NO

4 CN % NS % 5 9 CN % NS % CN % NS % CN 1 1.6% NS 1 1.3% CN 0 0% NS 1 1.3% 8 5 NS 5 9 CN p CN 86.2% NS 82.4% CN 80.0% NS 69.4% CN 50.8% NS 55.3% CN NS CN NS 2 CN NS 2 CN 80.0% NS 78.8% CN 9.2% NS 11.8% CN 43.1% NS 43.5% CN 75.4% NS 81.2% CN 95.4% NS 95.3% CN NS CN NS 4 CN NS 3 1 CN 89.2% NS 68.2% CN p % 90.6% CN 55.4% NS 32.9% p % 42.4% p 0.05 CN VOL.3 NO

5 CN 83.1% NS 54.1% p % 75.3% p 0.05 CN 4 2 CN 38.5% NS 27.1% 33.8% 18.8% p 0.05 CN CN NS 5 3 CN 38.5% NS 21.2% p % 14.1% p 0.05 CN CN 58.5% NS 35.3% p 0.01 CN 43.1% NS 18.8% p 0.01 CN 30 CN NS 6 3 CN 35.4% NS 29.4% 29.2% 47.1% p 0.05 CN CN NS VOL.3 NO

6 CN 73.8% NS 60.0% 75.4% 52.9% p 0.01 CN CN 75.4% NS 69.4% 78.5% 62.4% p 0.05 CN CN 70.8% NS 52.9% p % 49.4% p 0.05 CN CN 75.4% NS 55.3% p 0.05 CN CN NS VOL.3 NO

7 NS 6 CN 8 CN NS 9 CN 5 6 NS CN 8 CN NS D haese % 10% 48 VOL.3 NO

8 NS CN 12, 21 22, 23 NS CN CN NS 7 8 CN NS CN 3 NS 2 CN 3 NS 1 CN NS 8 CN 8 NS 7 Grade NS CN CN 3 CN 3 NS 2 CN 2 NS 1 CN CN NS NS 3 CN 5 NS 1 CN 4 CN VOL.3 NO

9 CN NS CN C C 16 CN NS NS 4 CN 2 CN NS CN NS 8 CN 8 NS , 26 CN NS CN NS CN 7 NS 5 CN CN NS CN 7 NS 6 CN CN NS CN NS CN 7 NS 5 CN 6 NS 4 CN NS CN CN NS 3 CN NS 2 CN 5 NS 4 CN 3 NS 2 NS CN 50 VOL.3 NO

10 28 CN NS CN NS NS CN CN 7 NS 5 CN 22 CN 14 CN NS CN NS 30 CN NS CN CN NS CN NS NS 1 CN NS VOL.3 NO

11 CN NS NS CN 1 CN NS CN pp pp QOL wp-content/uploads/2014/04/20houshasen.pdf pp Becker-Schiebe M, Mengs U, Schaefer M, et al. Topical use of a silymarin-based preparation to prevent radiodermatitis. Strahlentherapie und Onkologie. 2011, Roy I, Fortin A, Larochelle M. The impact of skin washing with water and soap during breast irradiation: A randomized study. Radiotherapy and Oncology. 2001, D haese S, Van Roy M, Bate T, et al. Management of skin reactions during radiotherapy in Flanders Belgium : A study of nursing practice before and after the introduction of a skin care protocol. European Journal of Oncology Nursing. 2010, EBN Evidence-Based Nursings Fukushi Y, Kitajima M, Itaki C,, et al. Changes in skin surface temperature and erythema intensity during and after radiotherapy for breast cancer patients. Radiation Emergency Medicine. 2014, Harris R, Probst H, Beardmore C, et al. Radiotherapy skin care: A survey of practice in the UK. Radiography. 2012, pp Feight D, Baney T, Bruce S, et al. Putting evidence into practice: Evidence-based interventions for radiation dermatitis. Clinical Journal of Oncology Nursing. 2011, VOL.3 NO

12 pp pp The Kitakanto Medical Journal qualification/cn VOL.3 NO

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原 著 放射線皮膚炎に対する保湿クリームの効果 耳鼻科領域の頭頸部照射の患者に保湿クリームを使用して * 要旨 Gy Key words はじめに 1 70Gy 2 2 QOL 原 著 放射線皮膚炎に対する保湿クリームの効果 耳鼻科領域の頭頸部照射の患者に保湿クリームを使用して * 1 2 1 2 要旨 2011 1 2013 9 33 0 1 6 16 17 60Gy Key words はじめに 1 70Gy 2 2 QOL 3 4 2014 6 16 2015 4 17 連絡先 359 0042 3 2 Phone 04 2995 1511 Fax 04 2995 0633

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