舒适护理在肿瘤化疗恶心呕吐患者化疗期间的应用效果.pdf

护理管理Huliguanli《中国医学创新》第20卷第30期（总第636期）2023年10月舒适护理在肿瘤化疗恶心呕吐患者化疗期间的应用效果卢小华①【摘要】目的：分析舒适护理在肿瘤化疗恶心呕吐患者化疗期间的应用效果。方法：以2020年1月—2021年12月龙岩市第二医院肿瘤内科收治的62例肿瘤化疗患者为本次研究对象，并以化疗期间的护理计划分为常规组（31例，常规护理）和舒适组（31例，舒适护理），对比分析两组护理模式的综合应用价值。结果：两组患者护理前各项评分差异均无统计学意义（P>0.05），舒适组患者护理后罗德恶心呕吐指数评估量表（INVR）、Piper疲乏评估修订量表（PFS-R）、汉密尔顿焦虑量表（HAMA）、汉密尔顿抑郁量表（HAMD）、匹兹堡睡眠质量指数量表（PSQI）评分均显著低于常规组（P<0.05），癌症自我效能感量表（SUPPH）、肿瘤疾病患者的生活质量量表（EORTCQLQ-C30）评分均显著高于常规组（P<0.05）；舒适组与常规组患者的护理服务的满意度分别为100%、77.42%，舒适组显著高于常规组，差异有统计学意义（P<0.05）。结论：对肿瘤化疗患者实施舒适护理，可有效减轻化疗恶心呕吐反应、癌因性疲乏、负面情绪，提升自我效能、睡眠质量与生活质量，并取得较高护理满意度评价。【关键词】肿瘤化疗化疗不良反应舒适护理TheApplicationEffectofComfortNursinginPatientswithNauseaandVomitingUndergoingTumorChemotherapduringChemotherapy/LUXiaohua.//MedicalInnovationofChina,2023,20(30):096-100[Abstract]Objective:Toanalyzetheeffectofcomfortnursinginpatientswithnauseaandvomitingundergoingtumorchemotherapduringchemotherapy.Method:Atotalof62tumorchemotherapypatientsadmittedtotheDepartmentofOncologyoftheSecondHospitalofLongyanCityfromJanuary2020toDecember2021wereselectedastheobjectsofthisstudy,andweredividedintotheroutinegroup(31cases,routinenursing)andthecomfortablegroup(31cases,comfortnursing)accordingtothenursingplanduringchemotherapy,andthecomprehensiveapplicationvalueofthenursingmodeofthetwogroupswascomparedandanalyzed.Result:Therewerenosignificantdifferencesinscoresbetweenthetwogroupsbeforenursing(P>0.05).Thescoresofindexofnauseaandvomitingandretching(INVR),Piper'sfatiguescale(PFS-R),Hamiltonanxietyscale(HAMA),Hamiltondepressionscale(HAMD)andPittsburghsleepqualityindex(PSQI)incomfortablegroupweresignificantlylowerthanthoseinroutinegroup(P<0.05).Thescoresofstrategiesusedbypeopletopromotehealth(SUPPH)andEuropeanorganizationforresearchandtreatmentofcancerqualityoflifequestionnaire(EORTCQLQ-C30)weresignificantlyhigherthanthoseofroutinegroup(P<0.05).Thesatisfactionofnursingservicesinthecomfortablegroupandtheroutinegroupwas100%and77.42%,respectively,andthatofthecomfortablegroupwassignificantlyhigherthanthatoftheroutinegroup,wi