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多学科管理模式在乳腺癌患者化疗所致恶心呕吐中的应用

李金花 李旭英 谭艳 魏涛   

  1. 湖南省肿瘤医院乳腺内科,410013长沙市(李金花);护理部(李旭英,魏涛);乳腺外科(谭艳)
  • 出版日期:2018-03-25 发布日期:2018-03-25

Application of the multidisciplinary-team management model in patients with breast cancer's Chemotherapy-Induced Nausea and Vomiting

  • Online:2018-03-25 Published:2018-03-25

摘要: 目的:研究多学科管理模式对乳腺癌患者化疗所致恶心呕吐发生情况及化疗依从性、患者满意度的影响。方法:将2016年8-10月301名乳腺癌化疗患者作为观察组,按多学科管理模式进行全程管理,将2016年5-7月入住本科的294名乳腺癌化疗患者作为对照组,实施常规管理。比较两组患者化疗所致恶心呕吐发生情况、化疗依从性及患者满意度。结果:观察组与对照组患者满意度的比较差异有统计学意义(P<0.05);观察组与对照组化疗依从性比较差异有统计学意义(P<0.05);观察组与对照组化疗所致恶心呕吐发生情况比较差异有统计学意义(P<0.001)。结论:多学科管理模式可以明显改善乳腺癌患者化疗所致恶心呕吐发生情况;提高患者化疗依从性;提升患者满意度。

Abstract: Objective: To explore the effects of the multidisciplinary-team management model on the incidence of Chemotherapy-Induced Nausea and Vomiting (CINV), chemotherapeutic compliance and satisfaction degree in patients with breast cancer. Methods: Totally 294 breast cancer patients were enrolled as the control group from May to July in 2016 and received regular management, while 301 patients with breast cancer were enrolled as the observation group from August to October 2016, and the multidisciplinary-team management model for CINV was implemented. The incidence of CINV, the compliance of chemotherapy and the patients' satisfaction were compared between the two groups. Results: Both the satisfaction degree and chemotherapeutic compliance of the observation group were higher than those of the control group, while the incidence of CINV was lower than that of the control group (P<0.05). Conclusion: The multidisciplinary-team CINV management model may significantly reduce the incidence of CINV in patients with breast cancer; improve patients' satisfaction and improve patients' compliance with chemotherapy.