无呕吐规范化病房护理工作模式在肿瘤内科的应用探讨  

Study for the application of no vomiting standardized ward nursing work mode in medical oncology department

作　　者：汪洋[1] 任海玲[1] 孙英杰[1] 宋慧[1] 

机构地区：[1]天津医科大学肿瘤医院国家肿瘤临床医学研究中心天津市"肿瘤防治"重点实验室,天津300060

出　　处：《护士进修杂志》2016年第22期2048-2051,共4页Journal of Nurses Training

摘　　要：目的探讨无呕吐规范化病房护理工作模式对预防高致吐化疗药物在恶心、呕吐不良反应中的应用。方法应用方便抽样法选取2015年8月-2016年1月在我院肿瘤内科使用含有顺铂或蒽环类药物化疗的患者100例,采用随机数字表法分为观察组和对照组各50例。对照组给予恶心、呕吐护理常规,观察组给予集束化护理措施,包括:建立无呕吐规范化病房护理工作模式、加强恶心呕吐相关知识及评估方法培训考核、建立化疗患者恶心呕吐档案、应用中医穴位按压法等。4个化疗周期后对比两组患者恶心呕吐发生频率及程度、满意度及呕吐功能性生活指数的差异。结果观察组患者恶心呕吐发生频率、程度明显低于对照组,患者满意度及呕吐功能性生活指数高于对照组,两组差异有统计学意义(P<0.05)。结论无呕吐规范化病房护理工作模式的应用提高了医、护、患三方的无呕吐干预意识,使干预方案更具针对性,通过有效降低患者恶心呕吐发生率,显著改善患者满意度及生活质量,具有临床应用及推广价值。Objective To explore the application of no-vomiting standardized ward nursing work mode for preventmg patients who receive chemotherapy drugs from nausea and vomiting. Methods 100 Patients who received cisplatin or anthracycline-based chemotherapy drugs were included. They were randomly divided into observation group and the control group. Patients in control group were given routine nursing care routine, while patients in observation group received cluster nursing measures, which included create no vomiting standardization ward nursing mode, enhance knowledge and evaluation methods training on nausea and vomiting for doctors and nurses, establish the nausea and vomiting archives for patients received chemotherapy, health education, traditional Chinese medicine acupuncture points press and so on. After four cycles of chemotherapy, nausea and vomiting frequency and degree, the functional living index-Emesis（FLIE）and patients satisfaction to nurses and doctors were evaluated. Results Nausea and vomiting frequency and degree in observation group was significantly lower than that of the control group, while patients＂ satisfaction and FLIE were higher than that of the control group, there was significant difference between the two groups （P 〈 0.05）. Conclusion The application of no vomiting standardization ward nursing mode can improve doctors, nurses, and patients consciousness about vomiting intervention, which make the intervention plans more targeted. Thus, doctors and nurses can help patients improve their quality of life by effectively reduce the incidence of nausea and vomiting. It has clinical applications and promotional value.

关 键 词：无呕吐病房 化疗 护理工作模式 

分 类 号：R473.73[医药卫生—护理学]