化疗后居家患者自我管理能力的提高对其胃肠道反应发生率的影响

Effect of Improving Self-Management Ability of Home Patients after Chemotherapy on the Incidence of Gastrointestinal Reactions

目的探讨化疗后居家患者自我管理能力的提高对胃肠道反应发生率的影响。方法选取2022年7月至2022年12月来我院就诊的化疗患者60例,使用肺癌化疗患者自我管理调查量表评估患者自我管理行为(干预前),并在患者下一次化疗前通过对患者进行生理-心理-社会方面干预以提高患者自我管理能力(干预后),对比干预前后患者化疗后胃肠道反应发生率。结果干预后患者化疗后自我管理能力高于干预前,恶心、呕吐等胃肠道反应发生率均低于干预前(P<0.05),且患者自我管理行为与恶心、呕吐等胃肠道反应发生率成负相关。结论提高患者自我管理能力能够有效预防且缓解患者化疗后恶心、呕吐等症状的发生,提高患者的生活质量。

Objective This study aims to investigate the impact of enhancing self-management abilities in home patients after chemotherapy on the occurrence of gastrointestinal reactions.Methods A total of 60 chemotherapy patients who came to our hospital from July 2022 to December 2022 were selected to evaluate patients'self-management behavior(before intervention)using the lung cancer chemotherapy patient self-management survey scale,and to improve patients'self-management ability(after intervention)through physiological,psychological and social intervention before next chemotherapy.The incidence of gastrointestinal reactions after chemotherapy was compared before and after intervention.Results After intervention,patients'self-management ability after chemotherapy was higher than that before intervention,and the incidence of gastrointestinal reactions such as nausea and vomiting was lower than that before intervention(P<0.05),and patients'self-management behavior was negatively correlated with the incidence of gastrointestinal reactions such as nausea and vomiting.Conclusions Enhancing patients'self-management abilities can effectively prevent and alleviate symptoms such as nausea and vomiting after chemotherapy,thereby improving their quality of life.