Effectiveness of an Infectious Prevention Program for Patients with Acute Leukemia in Hematology-Oncology Medicine Ward at Surat Thani Hospital
Keywords:
Infectious Prevention Program, Acute LeukemiaAbstract
Infection in patients with acute leukemia tends to be increasing. The infectious prevention is therefore essential to ensure patient's safety. This quasi-experimental posttest- two group design research aimed to compare the infection incidence between patients with acute leukemia who received the infectious prevention program and those who received regular nursing care. Sixty patients with acute leukemia were selected using purposive sampling, and then assigned into an experimental or control group (30 subjects per group). The tool used in the experiment was the infection prevention program for patients with acute leukemia, including assessment of risk factors for febrile neutropenia, health education, hand washing, patient isolation, cleansing the patient's body with 4% Chlorhexidine soap, and environmental cleaning. The tool used was a hospital infection surveillance record form. Its content validity was verified by a panel of three experts. Data were analyzed using percentage, mean, standard deviation, and odds ratio.
Results of research revealed that the incidence of sepsis in the control group and the experimental group was not different (Odds ratio = 0.38, 95% CI: 0.12 - 1.20, p-value= 0.079). The likelihood of having infected pneumonia was not different between the control group and the experimental group (Odds ratio= 0.62, 95% CI: 0.16 - 2.45, p-value= 0.365). However, the likelihood of having urinary tract infection in the control group was significantly higher than in the experimental group (Odds ratio = 0.17, 95% CI: 0.02 - 1.58, p-value = 0.097).
Per findings, the program can be applied to prevent urinary tract infection in patients with acute leukemia in similar contexts.
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