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化疗所致恶心呕吐规范化示范病房管理模式在恶性肿瘤化疗患者中的应用效果▲
Application effect of standardized model ward management for chemotherapy-induced nausea and vomiting in patients with malignant tumors undergoing chemotherapy

内科 页码:493-498

作者机构:甘肃省武威肿瘤医院,武威市 733000

基金信息:▲基金项目:甘肃省武威市科技计划B类项目(WW24B01SF030) 通信作者:李应宏

DOI:10.16121/j.cnki.cn45-1347/r.2025.05.06

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  • 英文简介
  • 参考文献

目的 探讨化疗所致恶心呕吐(CINV)规范化示范病房(“无呕病房”)管理模式在恶性肿瘤化疗患者中的应用效果。方法 采用前后对照研究设计。选取2023年1月至6月(“无呕病房”管理模式实施前)收治的98例化疗患者作为对照组,给予常规止吐措施;选取2024年1月至6月(“无呕病房”管理模式实施后)收治的91例化疗患者作为观察组,实施“无呕病房”管理模式。比较两组患者的CINV发生率与严重程度、化疗依从性、满意度及生活质量。结果 观察组患者的恶心发生率(32.97%比55.10%)和呕吐发生率(25.27%比48.98%)均低于对照组(均P<0.05);观察组患者恶心和呕吐的严重程度均低于对照组(均P<0.05);观察组患者的化疗依从性、满意度和生活质量等级分布均优于对照组(均P<0.05)。结论 应用“无呕病房”管理模式能有效降低恶性肿瘤化疗患者CINV的发生率并减轻CINV严重程度,并显著提高患者的治疗依从性、满意度及生活质量。该多学科协作管理模式具有临床推广价值。

Objective To explore the application effect of the chemotherapy-induced nausea and vomiting (CINV) standardized model ward ("vomit-free ward") management mode in patients with malignant tumors undergoing chemotherapy. Methods A before-and-after controlled study design was adopted. A total of 98 chemotherapy patients admitted from January to June 2023 (before the implementation of the "vomit-free ward" management mode) were selected as the control group, and they were given conventional antiemetic measures. A total of 91 chemotherapy patients admitted from January to June 2024 (after the implementation of the "vomit-free ward" management mode) were selected as the observation group, and the "vomit-free ward" management mode was implemented. The incidence and severity of CINV, chemotherapy compliance, satisfaction, and quality of life were compared between the two groups. Results The incidence rates of nausea (32.97% vs. 55.10%) and vomiting (25.27% vs. 48.98%) in the observation group were lower than those in the control group (all P<0.05); the severity of nausea and vomiting in the observation group were lower than those in the control group (all P<0.05); the distribution of chemotherapy compliance, satisfaction, and quality of life grades in the observation group were better than those in the control group (all P<0.05). Conclusion The application of the "nvomit-fre ward" management mode can effectively reduce the incidence and severity of CINV in patients with malignant tumors undergoing chemotherapy, and significantly improve patients' treatment compliance, satisfaction, and quality of life. This multidisciplinary collaborative management mode has clinical promotion value.

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