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作 者:杨桂梅[1] 袁慧华[1] 魏婷 陈婷婷 彭志强[1] 张春华[1] 熊琳 林婧 YANG Guimei;YUAN Huihua;WEI Ting;CHEN Tingting;PENG Zhiqiang;ZHANG Chunhua;XIONG Lin;LIN Jing(Department of Lymphohemological Oncology,Jiangxi Cancer Hospital,Jiangxi Province,Nanchang 330029,China)
机构地区:[1]江西省肿瘤医院淋巴血液肿瘤科,江西南昌330029
出 处:《中国当代医药》2024年第24期166-170,共5页China Modern Medicine
基 金:江西省卫生健康委科技计划项目(202210986)。
摘 要:目的探讨信息化支持下多学科团队对淋巴瘤化疗所致恶心呕吐(CINV)患者个性化管理的效果。方法选取2022年1月至2023年6月江西省肿瘤医院收治的70例CINV淋巴瘤患者作为研究对象,按照随机数字表法分为观察组(35例)和对照组(35例)。对照组采用常规护理,观察组采用信息化支持下多学科团队行个性化管理。比较两组患者的恶心呕吐干预效果、负性情绪、遵医行为及生命质量。结果观察组对恶心呕吐的干预总有效率高于对照组,差异有统计学意义(P<0.05);干预后,观察组焦虑自评量表(SAS)、抑郁自评量表(SDS)评分低于对照组,差异有统计学意义(P<0.05);观察组遵从率高于对照组,差异有统计学意义(P<0.05);干预后,观察组生命质量评分低于对照组,差异有统计学意义(P<0.05)。结论信息化支持下多学科团队对CINV淋巴瘤患者予以个性化管理,有助于降低CINV发生率,减轻负性情绪,提高遵医行为和生命质量,值得临床推广应用。Objective To explore the personalized management effect of multidisciplinary teams under the support of information technology on patients with chemotherapy-induce nausea and vomiting(CINV)in lymphoma.Methods A total of 70 CINV lymphoma patients admitted to Jiangxi Cancer Hospital from January 2022 to June 2023 were selected as the study subjects.They were randomly divided into an observation group(35 cases)and a control group(35 cases)using a random number table method.The control group received routine nursing care,while the observation group received personalized management through a multidisciplinary team supported by information technology.The effectiveness of nausea and vomiting intervention,negative emotions,compliance behavior,and quality of life were compared between two groups of patients.Results The total effective rate of intervention on nausea and vomiting in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).After intervention,the self-rating anxiety scale(SAS)and self-rating depression scale(SDS)scores of the observation group were lower than those of the control group,with statistically significant differences(P<0.05).The compliance rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).After intervention,the quality of life score of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Personalized management of CINV patients by multidisciplinary teams supported by information technology can help reduce the incidence of CINV,alleviate negative emotions,improve medical compliance behavior and quality of life,and is worthy of clinical promotion and application.
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