肿瘤科护士对癌症患者化疗消化道症状管理临床实践与知识和态度及医护合作的相关性研究  

Clinical practice, knowledge and attitudes of oncology nurses to the management of gastrointestinal symptoms in cancer chemotherapy and the correlation research of medical and nursing cooperation

作　　者：李燕[1] 张曦 杜雪[3] 袁萍[4] 王东莉[5] Li Yan;Zhang Xi;Du Xue;Yuan Ping;Wang Dongli(The Second Department of Oncology,General Hospital of Ningxia Medical University,Yinchuan 750004,China;Nursing Department of Cancer Hospital,General Hospital of Ningxia Medical University,Yinchuan 750004,China;The Second Department of Surgery,General Hospital of Ningxia Medical University,Yinchuan 750004,China;Department of Respiratory Medicine,General Hospital of Ningxia Medical University,Yinchuan 750004,China;Department of Hematology,General Hospital of Ningxia Medical University,Yinchuan 750004,China)

机构地区：[1]宁夏医科大学总医院肿瘤内二科,银川750004 [2]宁夏医科大学总医院肿瘤医院护理部,银川750004 [3]宁夏医科大学总医院肿瘤外二科,银川750004 [4]宁夏医科大学总医院呼吸内科,银川750004 [5]宁夏医科大学总医院血液内科,银川750004

出　　处：《中国实用护理杂志》2023年第10期721-728,共8页Chinese Journal of Practical Nursing

基　　金：宁夏回族自治区重点研发计划项目(2022CMG03082);宁夏自然科学基金项目(2019AAC03206);宁夏回族自治区卫生计生委重点科学研究项目(2019-NW-014);宁夏医科大学校级课题(XM2022060)。

摘　　要：目的调查宁夏地区肿瘤科护士对癌症患者化疗消化道症状(CGIS)管理临床实践活动现况,并探讨CGIS管理临床实践与护士的知识和态度及医护合作的相关性,为提高宁夏地区肿瘤科护士对癌症患者CGIS管理的临床实践活动提供依据。方法本研究为横断面调查研究。2021年1月25—31日,采用一般资料调查表,肿瘤科护士对癌症患者CGIS管理临床实践活动问卷对宁夏地区289名肿瘤科护士进行调查。结果肿瘤科护士医护合作、CGIS知识、态度、CGIS管理临床实践活动得分分别为(24.94±3.20)、(20.19±3.82)、(52.19±6.17)、(129.93±36.33)分,CGIS管理临床实践活动各维度得分中消化道症状评估维度得分最低、得分最高是健康教育维度;肿瘤科护士对癌症CGIS管理临床实践活动各维度得分与肿瘤科护士的知识、态度得分均呈显著正相关(r值为0.225~0.293,均P<0.05)。结论肿瘤科护士对癌症患者CGIS管理的临床实践活动有待提高,尤其是要提高肿瘤科护士对癌症患者CGIS的评估。护理管理者应尽快制订CGIS管理临床实践的活动指南,加强护士相关知识培训,为护士提供合适的评估工具,以提高对CGIS管理的临床实践活动。Objective To investigate the current situation of clinical practice of cancer chemotherapy-related gastrointestinal symptoms(CGIS)management among oncology nurses in Ningxia,and to explore the correlation between CGIS management and nurses′knowledge and attitude and medical and nursing cooperation,so as to provide evidence for improving the clinical practice of cancer patients CGIS management among oncology nurses in Ningxia.Methods This was a cross-sectional study.From January 25 to 31,2021,the general data questionnaire and the questionnaire of clinical practice of CGIS management for cancer patients were used to survey 289 nurses in oncology department in Ningxia.Results The scores of medical and nursing cooperation,CGIS knowledge,attitude,and CGIS management clinical practice activities of nurses in oncology department were(24.94±3.20),(20.19±3.82),(52.19±6.17)and(129.93±36.33)points,respectively.Among the scores of CGIS management clinical practice activities,gastrointestinal symptoms evaluation dimension scored the lowest,and the highest was CGIS health education dimension.There was a significant positive correlation between the scores of clinical practice of CGIS management of cancer patients and the scores of knowledge and attitude of oncology nurses(r values were 0.225-0.293,all P<0.05).Conclusions The clinical practice of cancer patients′CGIS management by oncology nurses needs to be improved,especially the evaluation of cancer patients′CGIS by oncology nurses.Nursing managers should formulate the activity guide of CGIS management clinical practice as soon as possible,strengthen the training of nurses′relevant knowledge,and provide nurses with appropriate evaluation tools to improve the clinical practice of CGIS management.

关 键 词：护士 肿瘤科 医院 化疗消化道症状管理 知识和态度 医护合作 

分 类 号：R473.73[医药卫生—护理学]