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2022
복합화학요법을 받은 미만성 거대 B세포 림프종 환자의 호중구감소증 발생에 영향을 미치는 요인: 환자-대조군 연구
대한종양간호학회
최자윤
논문정보
- Publisher
- Asian Oncology Nursing
- Issue Date
- 2022-09-22
- Keywords
- -
- Citation
- -
- Source
- -
- Journal Title
- -
- Volume
- 22
- Number
- 3
- Start Page
- 153
- End Page
- 162
- DOI
- ISSN
- 22872434
Abstract
Purpose: This study aimed to identify the factors associated with chemotherapy-induced neutropenia (CIN) in diffuse large B-cell lymphoma (DLBCL) patients undergoing combination chemotherapy. Methods: A total of 111 patients with DLBCL participated in this study at C University Hospital. The CIN group consisted of patients with an absolute neutrophil count (ANC) lower than 1,000 cells/μL. Clinical factors, the level of depression, and the level of healthy lifestyle were measured on the chemotherapy administration day, and the ANC was measured on the next follow-up day. Results: Binary logistic regression analysis showed that the factors associated with CIN in DLBCL were the presence of B symptoms at diagnosis (β=4.69) and low-risk CIN regimen (β=0.10) among clinical factors, and the level of healthy lifestyle (β=0.17). Conclusion: Oncology nurses have to focus on the patients vulnerable to CIN having B symptoms at diagnosis, receiving a low-risk CIN regimen, and showing non-adherence to healthy lifestyle practice. Administration of granulocyte colony-stimulating factor can be considered for the patients receiving low-risk CIN regimen to reduce CIN. Education programs including healthy lifestyle practice to improve the immune system should be applied to the DLBCL patients.
- 전남대학교
- KCI
- Asian Oncology Nursing
저자 정보
| 이름 | 소속 |
|---|---|
| 최자윤 | 간호학과 |