肿瘤化疗相关性肠梗阻十项措施全程护理的探讨

Discussion on ten measures of the entire nursing for chemotherapy-related intestinal obstruction

目的 探讨肿瘤患者化疗相关性肠梗阻全程护理的措施及程序。方法 对22例肿瘤患者化疗相关药物所诱发的肠梗阻，在内科保守治疗的同时配合采用协助病情观察、心理疏导、鼻胃管的置入及胃肠减压护理、口腔护理、中心静脉置管及护理、润肠通便及香油的应用、腹部按摩联合热疗、用药护理、饮食护理和出院指导等10项措施依序全程护理。结果 22例肠梗阻患者于1~11天梗阻解除21例（95.45%），中位缓解时间为5天；死亡1例（4.55%）。结论 肿瘤患者化疗相关性肠梗阻只要及时明确诊断，采用内科综合治疗的同时，配合10项措施依序全程护理，均于一周左右较顺利恢复，但若延误诊治则难以逆转。其护理措施及程序值得探讨及进一步完善。

Objective Discussion on the measures of entire nursing and procedure aboutchemotherapy-related intestinal obstruction. Methods Twenty-two cancer patients with chemotherapy-relateddrug-induced intestinal obstruction adopt comprehensive internal medical treatment in conjunction with theentire ten measures sequentially care: assist condition observed, psychological counseling, nasogastric tubeimplants and decompression nursing, oral nursing, central venous catheter and nursing, application of laxativeagent and sesame oil, abdominal massage with thermal therapy, pharmaceutical nursing, diet care, dischargeguidance. Results Twenty-one out of 22 (95.45%) cases of intestinal obstruction were relieved in 1~11 days,median duration of response was 5 days, one death case (4.55%). Conclusions Cancer patients withchemotherapy-related intestinal obstruction were well recovered about a week with the timely diagnosis, andadopt comprehensive internal medical treatment in conjunction with the entire ten measures sequentially care.However, it is difficult to reverse if the delay in treatment. Nursing measures and procedures need furtherdiscussing and improvement.