肿瘤化疗相关性肠梗阻十项措施全程护理的探讨

目的探讨肿瘤患者化疗相关性肠梗阻全程护理的措施及程序。 方法对22例肿瘤患者化疗相关药物所诱发的肠梗阻，在内科保守治疗的同时配合采用协助病情观察、心理疏导、鼻胃管的置入及胃肠减压护理、口腔护理、中心静脉置管及护理、润肠通便及香油的应用、腹部按摩联合热疗、用药护理、饮食护理和出院指导等10项措施依序全程护理。 结果22例肠梗阻患者于1~11天梗阻解除21例（95.45%），中位缓解时间为5天；死亡1例（4.55%）。 结论肿瘤患者化疗相关性肠梗阻只要及时明确诊断，采用内科综合治疗的同时，配合10项措施依序全程护理，均于一周左右较顺利恢复，但若延误诊治则难以逆转。其护理措施及程序值得探讨及进一步完善。

Discussion on ten measures of the entire nursing for chemotherapy-related intestinal obstruction

ObjectiveDiscussion on the measures of entire nursing and procedure about chemotherapy-related intestinal obstruction. MethodsTwenty-two cancer patients with chemotherapy-related drug-induced intestinal obstruction adopt comprehensive internal medical treatment in conjunction with the entire ten measures sequentially care: assist condition observed, psychological counseling, nasogastric tube implants and decompression nursing, oral nursing, central venous catheter and nursing, application of laxative agent and sesame oil, abdominal massage with thermal therapy, pharmaceutical nursing, diet care, discharge guidance. ResultsTwenty-one out of 22 (95.45%) cases of intestinal obstruction were relieved in 1~11 days, median duration of response was 5 days, one death case (4.55%). ConclusionsCancer patients with chemotherapy-related intestinal obstruction were well recovered about a week with the timely diagnosis, and adopt comprehensive internal medical treatment in conjunction with the entire ten measures sequentially care. However, it is difficult to reverse if the delay in treatment. Nursing measures and procedures need further discussing and improvement.