侵蚀性葡萄胎化疗患者的临床护理效果分析

目的探讨侵蚀性葡萄胎化疗患者的护理。方法入选我院2012年4月至2013年4月收治的96例侵蚀性葡萄胎化疗患者,随机分为观察组和对照组,每组各48例,观察组采用循证护理,对照组采用常规护理,比较两组患者恶心、呕吐、焦虑、静脉炎等不良反应的发生率。结果观察组恶心呕吐率为10.4%(5/48)、静脉炎发生率为14.6%(7/48)和焦虑评分为(6.3±2.1)分,均显著低于对照组75.0%(36/48)、39.6%(19/48)和(14.9±3.4)分,差异均具有统计学意义(均P<0.05)。结论循证护理干预有助于减少侵蚀性葡萄胎化疗患者的恶心呕吐、静脉炎等不良反应发生率,缓解患者焦虑情绪。

Efficacy of Clinical Nursing for Invasive Hydatidiform Patients with Chemotherapy

Objective To explore nursing measures for invasive hydatidiform patients with chemotherapy. Methods 96 invasive hydatidiform patients with chemotherapy in our hospital from April 2012 to April 2013 were selected and randomly stratified according to whether they received evidence-based nursing（observation group, with 48 patients） or they recieved routine care（control group, with 48patients）. The primary outcome was a comparison of the incidence of adverse events including nausea, vomiting, anxiety and phlebitis,between these two groups. Results The incidence of nausea and vomiting, phlebitis and the score of anxiety of the observation group was10.4%（5/48）, 14.6%（7/48） and（6.3 ± 2.1）, respectivly, significantly lower than 75.0%（36/48）, 39.6%（19/48） and（14.9 ± 3.4） of the control group（P 0.05）. Conclusions Evidence-based nursing intervention contributes to reduce invasive hydatidiform patients＇ incidence of advers events including nausea, vomiting and phlebitis who undergo chemotherapy, and releive patients＇ anxiety.