王媛媛,倪丽萍,孔奕恺.一种化疗所致恶心呕吐的防护尺装置制作与临床应用[J].上海护理,2022,22(S1):
一种化疗所致恶心呕吐的防护尺装置制作与临床应用
The invention discloses a protective ruler device for chemotherapy-induced nausea and vomiting and its clinical application
DOI:
中文关键词:  化疗所致恶心呕吐  防护尺装置  制作  临床应用
英文关键词:Chemotherapy-induced nausea and vomiting  Protective ruler device  Production  Clinical application of
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作者单位E-mail
王媛媛 复旦大学附属中山医院护理部 99215254@qq.com 
倪丽萍* 复旦大学附属中山医院护理部 99215254@qq.com 
孔奕恺 苏州北美国际高级中学  
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中文摘要:
      目的 探讨一种化疗所致恶心呕吐的防护尺装置的制作与应用效果。方法选择2020年1月-2021年6月在复旦大学附属中山医院肿瘤内科化疗患者150例为研究对象,采用随机数字表将患者随机分为观察组和对照组各75例。对照组和观察组入院时均进行营养评定量表(PG-SGA)评分,两组患者存在营养不良差异无统计学意义(P>0.05),针对PG-SGA评分≥4分的患者均给予营养干预。对照组给予我院化疗所致恶心呕吐护理常规,观察组教会患者使用防护尺装置进行CINV评估记录,并选择芳香物质气味卡来缓解恶心呕吐症状。评价两组患者恶心呕吐的发生率,两组方法的操作简单、取用便捷、是否缓解症状、可接受度及便于保存。结果 化疗前观察组的恶心发生率高于对照组,化疗后观察组的恶心、呕吐发生率明显低于对照组,差异存在统计学意义(P<0.05);化疗后观察组的呕吐发生率及I级、II级、III级的发生比例明显低于对照组,差异存在统计学意义(P<0.05);防护尺装置在操作简单、取用便捷、缓解症状、可接受度及便于保存方面比较差异均有统计学意义(P<0.05)。结论 一种化疗所致恶心呕吐的防护尺装置结构简单,增加患者使用时的便捷性,帮助患者缓解不适症状,且易于接受和保存。
英文摘要:
      Abstract: Objective To explore the fabrication and application effect of a protective ruler device for chemotherapy-induced nausea and vomiting.Methods Methods a total of 150 patients receiving chemotherapy in the department of Oncology, Zhongshan Hospital, Fudan University from January 2020 to June 2021 were selected as the subjects, and the patients were randomly divided into observation group and control group with 75 patients in each group by random number table. Nutrition Assessment Scale (PG-SGA) score was performed for both the control group and the observation group at admission, and there was no significant difference in malnutrition between the two groups (P > 0.05). Patients with PG-SGA score ≥4 were given nutritional intervention. The control group was given routine nursing care for chemotherapy-induced nausea and vomiting in our hospital, while the observation group taught patients to use protective ruler device for CINV evaluation and record, and selected aromatic substances odor card to relieve nausea and vomiting symptoms. The incidence of nausea and vomiting in the two groups were evaluated. The methods in the two groups were simple to operate, convenient to use, symptom relief, acceptability and easy to keep.Results The incidence of nausea in the observation group was higher than that in the control group before chemotherapy, and the incidence of nausea and vomiting in the observation group was significantly lower than that in the control group after chemotherapy, with statistical significance (P < 0.05). After chemotherapy, the incidence of vomiting and the proportion of grade I, II and III in the observation group were significantly lower than those in the control group, and the differences were statistically significant (P < 0.05). The protective ruler device had statistical significance in simple operation, convenient access, symptom relief, acceptability and convenience for storage (P < 0.05).Conclusion A protective ruler device for chemotherapy-induced nausea and vomiting is simple in structure, convenient for patients to use, helpful for patients to relieve uncomfortable symptoms, and easy to accept and preserve.
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