基于信息化的多维管理模式对化疗所致恶心呕吐的影响  

Effects of multidimensional management model based on informatization on chemotherapy-induced nausea and vomiting

作　　者：顾玲俐 陆箴琦 张晓菊 李静 Gu Lingli;Lu Zhenqi;Zhang Xiaoju;Li Jing(Department of Oncology,Fudan University Shanghai Cancer Center,Shanghai 200032,China)

机构地区：[1]复旦大学附属肿瘤医院肿瘤内科,上海200032 [2]复旦大学附属肿瘤医院护理部,上海200032

出　　处：《护理学杂志》2019年第16期1-5,共5页Journal of Nursing Science

基　　金：上海市卫生和计划生育委员会科研课题(201640325)

摘　　要：目的探讨基于信息化的多维管理模式对肿瘤患者化疗所致恶心呕吐及生活质量的影响。方法根据住院时间将2017年4~9月接受含有中度或高度致吐风险化疗药物的106例肿瘤患者作为对照组,采用常规化疗护理;将2017年10月至2018年4月接受含有中度或者高度致吐风险化疗药物的58例肿瘤患者作为干预组,采用基于信息化的、医护患共同参与的多维管理模式进行全程管理。结果干预组第1~5个化疗周期恶心程度及第3~5个化疗周期呕吐程度显著轻于对照组(P<0.05,P<0.01),且第2~5个化疗周期生活功能指数评分显著高于对照组(P<0.05,P<0.01)。结论基于信息化的、医护患共同参与的多维管理模式有利于降低肿瘤患者化疗所致的恶心呕吐发生,提高患者生活质量。Objective To explore the effects of multidimensional management model based on informatization on Chemotherapy-induced Nausea and Vomiting(CINV)and quality of life.Methods Totally106 cancer patients undergoing moderately or highlyemetogenic chemotherapy from April to September 2017 were taken as a control group,who received routine chemotherapy nursing,while another 58 cancer patients undergoing moderately or highly emetogenic chemotherapy from October 2017 to April 2018 were selected as an intervention group,who were given whole course management using multidimensional management model based on informatization and participated by physicians,nurses and patients.Results The degree of nausea during the 1st to 5th chemotherapy cycles and the degree of vomiting during the third to fifth chemotherapy cycles of the intervention group were significantly milderthan those of the control group(P<0.05,P<0.01),and the Functional Living Index-Emesis(FLIE)score during the 2nd to 5th chemotherapy cycles were significantly higher than those of the control group(P<0.05,P<0.01).Conclusion The multidimensional management model based on informatization and participated by physicians,nurses and patients is conducive to alleviating CINV for cancer patients,and improving their quality of life.

关 键 词：肿瘤 化疗相关性恶心呕吐 信息化 医护患协作 多维管理模式 症状管理 

分 类 号：R473.73[医药卫生—护理学]