乳腺癌患者化疗致胃肠道反应护理.docVIP

乳腺癌患者化疗致胃肠道反应护理[摘要] 目的：探讨针对性护理对乳腺癌患者化疗致胃肠道反应（恶心、呕吐）的临床辅助作用。方法：对40例乳腺癌患者化疗致胃肠道反应，分别给予针对性护理及一般常规护理。结果：20例针对性护理的患者中恶心18例，呕吐13例，Ⅰ～Ⅱ级呕吐12例，Ⅲ～Ⅳ级呕吐1例；对20例一般常规护理的患者中恶心20例，呕吐19例，Ⅰ～Ⅱ级呕吐12例，Ⅲ～Ⅳ级呕吐7例。结论：通过了解乳腺癌化疗患者胃肠道反应，加强心理护理及饮食护理，合理用止吐药物治疗和护理措施，把胃肠道不良反应减少至最低限度，可保证化疗的顺利完成，提高化疗效果及患者的生活质量 [关键词] 乳腺癌；化疗；胃肠道反应；护理 [中图分类号] R473.71 [文献标识码] C [文章编号] 1674-4721（2011）11（c）-107-02 Nursing of the breast cancer patients with chemotherapy induced gastrointestinal reaction LIN Mingyu, JIN Hailan The People′s Hospital of Tumen City, Jilin Province, Tumen 133100, China [Abstract] Objective: To explore the clinical auxiliary function of the counternursing for the breast cancer patients with chemotherapy incluced gastrointestinal reation (nausea, vomiting). Methods: 40 cases of breast cancer patients with chemotherapy incluced gastrointestinal reaction conditions, were given counternursing care and routine nursing care. Results: There were 18 cases with nausea and vomiting, 13 cases with vomiting, 12 cases inⅠ-Ⅱ vomiting and 1 cases in Ⅲ-Ⅳ vomiting, in 20 cases given counternursing, there were 20 cases with nausea and vomiting, 19 cases with vomiting, 12 cases inⅠ-Ⅱ vomiting and 7 cases in Ⅲ-Ⅳ vomiting in 20 casesgiven routine nursing. Conclusion: By understanding, as for breast cancer patients with gastrointestinal reactions, we should strengthen psychological nursing and diet nursing, reduce the gastrointestinal adverse reation to a minimum to guarantee the successful completion of the chemotherapy, and enhance the effect of chemotherapy and the quality of the patients′ life. [Key words] Breast cancer; Chemotherapy; Gastrointestinal reation; Nursing 乳腺癌是实体癌中应用化疗最有效的肿瘤之一，化疗在整个治疗中占有重要的地位，已成为肿瘤患者治疗的首要方法，但多数抗癌药物对增殖旺盛的胃肠道上皮细胞有抑制作用，胃肠道反应是乳腺癌化疗中最常见的不良反应，是患者难以坚持化疗或不愿意完成化疗的重要原因，易影响患者的生活质量，呕吐可引起脱水，代谢紊乱、营养不良等反应，造成化疗不能顺利进行，目前有新的止吐药，但仍有胃肠道反应，为减轻化疗的副作用，采取一系列针对性护理，有效地降低了胃肠道反应发生率，取得了良好的疗效，具体方法如下： 1 资料与方法 1.1 一般资料 2009年1月～2010年12月共收治40例乳腺癌患者，均为女性，年龄34～68岁，平均45岁，其中，无转移25例，淋巴转移11例，肺