基于循证的非药物干预方案在妇科肿瘤病人化疗所致恶心呕吐中的应用

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Abstract  Objective：To construct non⁃pharmacological interventions of chemotherapy induced nausea and vomiting（CINV） among gynecologic patients with tumor based on evidence-based method，and to explore application effect.Methods：The non-pharmacological interventions of CINV among gynecologic patients with tumor was constructed based on evidence⁃based method.120 gynecologic patients with tumor in a hospitals in Qingdao were selected as study subjects.60 patients admitted from February 2021 to May 2021 as the control group，and 60 patients admitted from June 2021 to September 2021 as the test group.The control group was given routine nursing，and the test group was given non⁃pharmacological interventions of CINV on the basis of routine nursing.The incidence of CINV，anxiety，depression and satisfaction for nursing were compared between the two groups.Results：The score of nausea degree in the test group at acute stage was 4.15±1.13，lower than that in the control group（5.08±1.27）.The incidence of delayed vomiting of the test group was 18.3%，the incidence of delayed nausea of the test group was 46.7%，and the score of nausea degree of the test group was 4.22±0.80，which were lower than those in the control group（the incidence of vomiting was 36.7%，the incidence of nausea was 65.0%，and the score of nausea degree was 4.72±1.06）.The score of the Self⁃Rating Anxiety Scale（SAS） in the test group on the day of discharge was 50.10±4.98，and the Self⁃Rating Depression Scale（SDS） in the test group on the day of discharge was 51.29±5.13，which were lower than those in the control group（SAS score was 56.07±6.32 and SDS score was 56.51±5.22）.The satisfaction of the test group was 28.22±5.33，which was higher than that of the control group（25.65±7.18），and the difference was statistically significant（P<0.05）.Conclusions：The implementation of evidence⁃based non⁃pharmacological interventions of CINV among gynecologic patients with tumor is conducive to alleviating CINV，reducing negative emotions of patients，and improving patient satisfaction.

Keywords    non⁃pharmacological interventions； chemotherapy induced nausea and vomiting； gynaecology； tumor； evidence⁃based nursing

摘要  目的：基于循证方法构建妇科肿瘤病人化疗所致恶心呕吐（CINV）的非药物干预方案，并探讨应用效果。（剩余12154字）