摘要
目的 探讨止呕护理对内科肿瘤化疗患者情绪状态及肠道副作用的影响。方法 将我院内科病房2014年3月-2016年8 月收治的160例肿瘤化疗患者随机分为观察组和对照组,每组各80例。对照组给予止呕药物联合常规肿瘤内科化疗 护理,观察组在对照组基础上给予止呕护理,比较两种不同护理方式干预对患者情绪状态及肠道副作用反应的影 响。结果 干预前两组患者QOL评分及FLIE评分无差异(P>0.05),不同护理方式干预后,两组患者QOL评分及FLIE评 分较护理干预前均有上升(P<0.05);其中采用止呕护理干预的观察组患者QOL评分及FLIE评分上升幅度明显高于常 规护理的对照组患者(P<0.05);观察组胃肠道副作用反应症状的改善情况也明显优于对照组(P<0.05),对比差异 有均统计学意义。结论 药物治疗配合止呕护理不仅改善患者情绪低落抑郁的症状,还能减轻或控制恶心、呕吐等 胃肠道副作用反应症状。
Objective To study the effect of antiemetic nursing on emotional state and intestinal side effects in patients with medical chemotherapy. Methods From Mar. 2014 to Aug. 2016, a total of 160 patients with chemotherapy in our hospital were taken as the clinical objects, and they were randomly divided into observation group (80 cases) and control group (80 cases). Both groups were given antiemetic drugs and routine chemotherapy nursing, besides, the observation group was given additional antiemetic nursing. The effects of two different nursing interventions on patients' emotional state and intestinal side effects were compared. Results Before intervention, there were no significant differences in QOL and FLIE scores between the two groups(P>0.05), after intervention, the QOL and FLIE scores in the two groups were both increased(P<0.05), the increase of QOL and FLIE scores in the observation group was significantly higher than that in the control group(P<0.05), the improvement of intestinal side effects in the observation group was obviously better than that in the control group, and their difference was statistically significant(P<0.05). Conclusion Medication combined with antiemetic nursing can not only improve the symptoms of depression, but also reduce or control the symptoms of gastrointestinal side effects such as nausea and vomiting.
【关键词】止呕护理;内科肿瘤化疗;情绪;肠道副作用
【中图分类号】R246.1
【文献标识码】A
【DOI】10.3969/j.issn.1009-3257.2017.05.018
前言
呕吐是内科肿瘤化疗患者化疗期间较为常见的并 发症之一,因化疗期间各种化疗药物的使用,使患者 胃肠道收到药物毒副作用刺激而引发的呕吐反应[1]。 呕吐反应易导致患者不同程度的食欲下降、厌食、情 绪不佳,容易并发营养不良,电解质紊乱等症状,更 有甚者因误吸呕吐物导致死亡事件发生,临床多采用 静脉滴注药物联合常规内科肿瘤护理以降低或消除呕 吐反应症状,但未取得较为显著疗效[2]。本次研究通 过给予患者常规止呕治疗方案联合止呕护理的止呕方 式,取得了较为显著的研究成果,具体报道如下。
罕少疾病杂志
第24卷, 第 5 期
2019年11月
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