乳腺外科护士对乳腺癌患者化疗预期性恶心呕吐认知及管理的质性研究  

Qualitative study of breast surgery nurses on the cognitive and management of expected nausea and vomiting in patients with breast cancer

作　　者：蒋维连[1] 吕文静 文国英[3] 黄颖健[3] 徐红英[4] Jiang Weilian;Lyv Wenjing;Wen Guoying;Huang Yingjian;Xu Hongying(Operating Room,Nanxishan Hospital,Guangxi Zhuang Autonomous Region,Nanxishan 541002,China;Breast Surgery,Nanxishan Hospital,Guangxi Zhuang Autonomous Region,Nanxishan 541002,China;Nursing Department,Nanxishan Hospital,Guangxi Zhuang Autonomous Region,Nanxishan 541002,China;Breast Surgery,Affiliated Hospital of Guilin Medical College,Guilin 541001,China)

机构地区：[1]广西壮族自治区南溪山医院手术室,541002 [2]广西壮族自治区南溪山医院乳腺外科,541002 [3]广西壮族自治区南溪山医院护理部,541002 [4]桂林医学院附属医院乳腺外科,541001

出　　处：《中国实用护理杂志》2019年第35期2746-2749,共4页Chinese Journal of Practical Nursing

基　　金：广西壮族自治区卫生和计划生育委员会资助项目(Z20180563);广西医疗卫生适宜技术开发与推广应用项目(S2017075)。

摘　　要：目的 深入了解乳腺外科护士(以下简称护士)对乳腺癌患者化疗预期性恶心呕吐的认知及管理状况,为采取针对性措施改善其恶心呕吐症状提供参考.方法 2018年3-5月,采用目的性抽样法选取10名乳腺外科护士为研究对象,运用质性研究中的现象学研究方法对其进行访谈,采用Colaizzi资料分析原则进行资料整理分析,提炼主题.结果 共提炼出5个主题:护士普遍知晓恶心呕吐对患者的影响;对化疗预期性恶心呕吐相关知识的认知匮乏;尚未将恶心呕吐作为一个独立症状进行评估;尚缺乏针对性、系统的管理措施;缺乏重视是患者恶心呕吐管理存在的主要阻碍.结论 护士须加强对乳腺癌患者化疗预期性恶心呕吐相关知识的学习,对患者恶心呕吐进行有效评估,护理管理者应根据管理现存的问题,制定相应规范化的干预措施以改善患者恶心呕吐问题,从而提高患者生命质量.Objective To understand the cognitive and management status of breast cancer patients with expectant nausea and vomiting in breast cancer patients,and to provide reference for taking targeted measures to improve the symptoms of nausea and vomiting.Methods From March to May 2018,10 breast surgical nurses were selected by the purpose sampling method.The phenomenological research methods in qualitative research were used to interview them.The Colaizzi data analysis principle was used to analyze the data and refine the theme.Results A total of five themes were extracted:nurses generally knew the impact of nausea and vomiting on patients;lack of knowledge about the expected nausea and vomiting of chemotherapy;nausea and vomiting has not been evaluated as an independent symptom;there is still no targeted,systematic management Measures;lack of attention is a major obstacle to the management of nausea and vomiting in patients.Conclusion Nurses should strengthen the knowledge of chemotherapy-predicted nausea and vomiting in breast cancer patients,and effectively evaluate patients with nausea and vomiting.Nursing managers should formulate corresponding standardized interventions to improve patients'nausea and vomiting according to the existing problems.Improve the quality of life of patients.

关 键 词：护士 乳腺肿瘤 化疗 预期性恶心呕吐 认知 定性研究 

分 类 号：R47[医药卫生—护理学]