乳腺癌化疗患者毒副反应中的循证护理

Effect of evidence-based nursing on toxicity and side effects in breast cancer patients with chemotherapy

目的探讨循证护理对乳腺癌化疗患者毒副反应的影响。方法选取2018年1—3月收治的45例乳腺癌化疗患者为对照组,采用常规护理。选取2018年4—6月收治的45例相关患者为观察组,在常规护理的基础上采用循证护理预防的毒副反应。比较2组化疗健康知识的掌握情况及相关毒副反应。结果观察组基础化疗知识、骨髓抑制、消化道及饮食营养等健康知识得分显著高于对照组(P <0. 05);观察组的胃肠道不良反应、骨髓抑制、口腔炎等发生率显著低于对照组(P <0. 05);观察组的化疗依从性显著高于对照组(P <0. 05)。结论循证护理能够增加乳腺癌化疗患者的化疗健康知识,减少毒副反应,提高化疗依从性。

Objective To explore the effect of evidence-based nursing on toxicity and side effects of breast cancer patients undergoing chemotherapy.Methods Forty-five patients with breast cancer treated in our department from January to March 2018 were selected as control group,receiving routine nursing.Forty-five patients with breast cancer treated by chemotherapy in our department from April to June 2018 were selected as observation group,given evidence-based nursing to prevent side effects on thebasis of routine nursing.The mastery of health knowledge of chemotherapy and related toxicity and side effects were compared between the two groups.Results The scores of health knowledge in basic knowledge of chemotherapy,bone marrow suppression,digestive tract and dietary nutrition in the observation group were higher than that in the control group(P<0.05).The incidence of gastrointestinal adverse reactions,bone marrow suppression and stomatitis in the observation group was lower than that in the control group(P<0.05).The compliance of the observation group was higher than that of the control group(P<0.05).Conclusion Evidence-based nursing can increase the health knowledge of breast cancer patients undergoing chemotherapy,reduce toxicity and side effects,and improve their compliance with chemotherapy.