乳腺癌患者化疗致胃肠道反应的护理

Nursing of the breast cancer patients with chemotherapy induced gastrointestinal reaction

目的:探讨针对性护理对乳腺癌患者化疗致胃肠道反应(恶心、呕吐)的临床辅助作用。方法:对40例乳腺癌患者化疗致胃肠道反应,分别给予针对性护理及一般常规护理。结果:20例针对性护理的患者中恶心18例,呕吐13例,Ⅰ～Ⅱ级呕吐12例,Ⅲ～Ⅳ级呕吐1例;对20例一般常规护理的患者中恶心20例,呕吐19例,Ⅰ～Ⅱ级呕吐12例,Ⅲ～Ⅳ级呕吐7例。结论:通过了解乳腺癌化疗患者胃肠道反应,加强心理护理及饮食护理,合理用止吐药物治疗和护理措施,把胃肠道不良反应减少至最低限度,可保证化疗的顺利完成,提高化疗效果及患者的生活质量。

Objective： To explore the clinical auxiliary function of the counternursing for the breast cancer patients with chemotherapy incluced gastrointestinal reation （nausea, vomiting）. Methods： 40 cases of breast cancer patients with chemotherapy incluced gastrointestinal reaction conditions, were given counternursing care and routine nursing care. Results： There were 18 cases with nausea and vomiting, 13 cases with vomiting, 12 cases in Ⅰ-Ⅱ vomiting and 1 cases in Ⅲ-Ⅳ vomiting, in 20 cases given counternursing, there were 20 cases with nausea and vomiting, 19 cases with vomiting, 12 cases inⅠ-Ⅱ vomiting and 7 cases in Ⅲ-Ⅳ vomiting in 20 casesgiven routine nursing. Conclusion： By understanding, as for breast cancer patients with gastrointestinal reactions, we should strengthen psychological nursing and diet nursing, reduce the gastrointestinal adverse reation to a minimum to guarantee the successful completion of the chemotherapy, and enhance the effect of chemotherapy and the quality of the patients ′ life.