肿瘤科护士化疗相关性恶心呕吐知信行现状的调查研究

Investigation on oncology nurses'knowledge,attitude,and practice toward chemotherapy-induced nausea and vomiting

目的调查肿瘤科护士对化疗相关性恶心呕吐(CINV)知识、态度和行为的现状。方法采用便利抽样方法,于2021年7月21日至2021年8月31日对广东省3所三甲医院(中山大学肿瘤防治中心、广东省人民医院及广东省第二人民医院)共218名肿瘤科护士进行问卷调查,问卷内容包括一般人口学资料(医院性质、性别、年龄、学历、职称、工作年限等)和CINV知信行得分。采用独立样本t检验、F检验。结果肿瘤科护士对CINV知信行得分结果显示:工作年限与护士CINV知识得分有关,是否接受CINV相关教育与护士CINV知识及行为得分有关,年龄、职称与护士CINV态度得分有关,差异均有统计学意义(均P<0.05);肿瘤科护士对CINV的知识得分为(7.75±3.11)分,态度得分为(34.40±4.07)分,行为得分为(36.11±8.73)分。结论护士对CINV的知识和实践水平有待提高,鼓励和促进护士使用国际指南指导CINV评估和护理实践,为构建科学的CINV课程和实践培训体系提供有利依据。

Objective To explore oncology nurses'knowledge,attitude,and practice(KAP)toward chemotherapy-induced nausea and vomiting(CINV).Methods Using a convenience sampling method,from July 21,2021 to August 31,2021,a questionnaire survey was conducted on 218 oncology nurses from 3 third-class A hospitals in Guangdong Province(Sun Yat-sen University Cancer Center,Guangdong Provincial People's Hospital,and Guangdong Second Provincial General Hospital).The questionnaire included general demographic data(hospital nature,gender,age,educational background,professional title,and working years)and scores of knowledge,attitude,and practice toward CINV.Independent sample t test and F test were used.Results The results of oncology nurses'knowledge,attitude,and practice toward CINV showed that working years were related to nurses'CINV knowledge score,whether they had received CINV-related education was related to nurses'CINV knowledge and practice scores,and age and professional title were related to nurses'CINV attitude score,with statistically significant differences(all P<0.05).The knowledge score of oncology nurses toward CINV was(7.75±3.11),the attitude score was(34.40±4.07),and the practice score was(36.11±8.73).Conclusions Nurses'knowledge and practice toward CINV need to be improved.We should encourage and promote nurses to use international guidelines to guide CINV assessment and nursing practice to provide a favorable basis for the construction of scientific CINV curriculum and practice training system.