乳腺癌患者术后辅助化疗不良反应的护理对策

Exploration of the Nursing Methods and Clinical effect of Chemotherapy after Breast Cancer Operation

目的：探讨乳腺癌患者术后化疗出现不良反应的护理对策与临床疗效。方法：回顾性分析我院2011年1月～2014年6月我院普外一科68例乳腺癌患者术后化疗的临床资料。结果：60例患者完成全程化疗，6例因不能耐受化疗而中止化疗，2例因经济因素放弃化疗；其中3例出现过敏反应，46例出现胃肠道反应，42例出现骨髓抑制现象，lO例出现外周静脉血管硬化并静脉炎，47例出现不同程度的脱发。结论：乳腺癌术后化疗过程中护士要做好各项防范措施，告知病人可能出现的化疗反应，同时做好心理护理，正确指导饮食，对化疗的顺利进行及减少化疗期间的毒副反应有较大的帮助。

Objective： To explore the nursing methods and clinical effect of chemotherapy after breast cancer operation. Methods： A retrospective analysis of our hospital from January 2011 to June 2014 in Department of general surgery with 68 cases breast cancer patients after chemotherapy. Results： 60 patients completed the chemotherapy, 6 cases because of intolerance to chemotherapy and 2 cases be- cause of economic factors; 3 patients had allergic reactions, 46 cases of gastrointestinal reaction,42 cases of bone marrow depression, 10 eases had venous sclerosis and phlebitis, 47 cases showed different degrees of hair loss. Conclusion： Comprehensive prevention meas- ures, inform the possible response of chemotherapy, psychological of nursing and the correct guidance of diet, can reduce the adverse re- actions.