电子止吐仪在乳癌化疗患者护理干预中的应用及效果评价  

Application and evaluation of electronic instrument antiemetic nursing intervention on patients with breast cancer during chemotherapy

作　　者：赵萍[1] 

机构地区：[1]泰兴市人民医院肿瘤科,江苏225400

出　　处：《社区医学杂志》2017年第8期31-33,共3页Journal Of Community Medicine

摘　　要：目的探讨电子止吐仪在乳癌患者化疗护理干预中的应用对焦虑、抑郁情绪及化疗依从性的影响。方法选择2013年6月—2014年5月收治的120例按CE方案化疗的乳癌患者作为研究对象,随机分为对照组和试验组各60例。对照组在化疗过程中实行常规护理干预,试验组在常规护理干预的基础上加用电子止吐仪。观察和记录两组患者化疗前后负性情绪改善情况以及化疗依从性情况。计量资料组间比较采用t检验,组内比较采用配对t检验,计数资料采用χ2检验,P<0.05为差异有统计学意义。结果试验组和对照组化疗后焦虑自评量表(self-rating anxiety scale,SAS)和抑郁自评量表(self-rating depression scale,SDS)得分分别为(52.51±7.01)、(43.23±6.86)、(58.16±6.96)、(51.09±5.37)分,均较化疗前的(63.9 3±7.31)、(64.31±6.9 7)、(67.83±7.51)、(68.51±7.07)分降低,差异均有统计学意义(均P<0.05)。化疗后,试验组SAS、SDS得分均低于对照组,差异均有统计学意义(均P<0.05)。试验组患者化疗依从率为91.67%,高于对照组的75.00%,差异有统计学意义(P<0.05)。结论电子止吐仪应用于乳癌化疗中,对减轻患者胃肠道反应疗效显著,可减轻患者的负性情绪,提高患者对化疗的依从性。Objective This essay is discussing about electronic anti-nausea instrument in breast cancer patients with chemotherapy nursing intervention on anxiety, mood and the effect of chemotherapy compliance. Method 120 breast cancer patients accept CE treatment from June 2013 to May 2014 were selected and randomly divided into control group（n=60） and experimental group（n=60）. The patients in control group were treated with conventional nursing, the patients in experimental group were treated with electronic anti-nausea instrument on the basic of control group. The negative mood improvement and chemotherapy compliance of the two groups were observed and recorded. Measurement data between groups were processed by t test, in groups were processed by paired t test, count data was processed by chi-square test, P0.05 was considered statistically significant. Result The scores of self rating anxiety scale（SAS） and self rating depression scale（SDS） of experimental group and the control group after chemotherapy were（52.51±7.01）,（43.23±6.86）,（58.16±6.96）,（51.09±5.37）points, lower than that before chemotherapy[（63.93±7.31）,（64.31±6.97）,（67.83±7.51）,（68.51±7.07）points], the differences were statistically significant（all P0.05）. The compliance rate of the experimental group was 91.67%, higher than that of the control group（75%）, the difference was statistically significant（P0.05）. Conclusion It is concluded that electronic anti-nausea instrument has a good effect in breast cancer chemotherapy patients with gastrointestinal reaction, can reduce the negative emotion of patients, and improve the patients,compliance to chemotherapy.

关 键 词：电子止吐仪 乳癌化疗 焦虑 抑郁 依从性 

分 类 号：R454.1[医药卫生—治疗学]