肿瘤患者化疗所致恶心呕吐的护理干预  

Nursing intervention for tumor patients with nausea and vomiting caused by chemotherapy

作　　者：陈国萍[1] 周瑞芳[2] 李淑琴[1] 

机构地区：[1]江苏省泰州市人民医院血液肿瘤科,江苏泰州225300 [2]江苏省泰州职业技术学院医学技术学院,江苏泰州225300

出　　处：《实用临床医药杂志》2013年第4期10-12,共3页Journal of Clinical Medicine in Practice

摘　　要：目的探讨护理干预对血液科肿瘤患者化疗所致恶心、呕吐(CINV)的影响。方法将107例接受化疗方案的血液科肿瘤患者随机分为干预组54例与对照组53例,2组均接受常规护理,干预组另加心理干预、行为干预、饮食干预。结果干预组患者的预期性、急性、延迟性CINV的发生率均较对照组明显降低,程度较对照组明显减轻(P<0.05)。结论护理干预在减少血液科肿瘤患者的CINV中起积极作用,通过心理干预、行为干预、饮食干预,可使患者恶心、呕吐的发生率明显降低,程度减轻。Objective To explore the effect of nursing intervention on the tumor patients with nausea and vomiting caused by chemotherapy in department of hematology.Methods 107 tumor patients with chemotherapy in department of hematology were randomly divided into the intervention group（n=54） and the control group（n=53）.Both of two groups were conducted with conventional nursing,on this basis,the intervention group was conducted with additional measures such as psychological intervention,behavioral intervention and dietary intervention.Results About the nausea and vomiting caused by chemotherapy,there were three types： predicted type,acute type and delayed type.Incidence rates of the three types of nausea and vomiting caused by chemotherapy in the intervention group were significantly lower than the control group,furthermore the levels of nausea and vomiting were obviously lower than the control group（P＆lt;0.05）.Conclusion Nursing intervention plays a positive role in reducing the degree of nausea and vomiting caused by chemotherapy in the tumor patients in department of hematology.Through the psychological intervention,behavioral intervention and dietary intervention,incidence rates of nausea and vomiting can be obviously reduced.

关 键 词：血液科肿瘤 化疗 恶心呕吐 护理干预 

分 类 号：R473.73[医药卫生—护理学]