Effect of Traditional Chinese Medicine nursing technology in prevention and treatment of chemotherapy-induced nausea and vomiting in patients with breast cancer (中医护理干预防治乳腺癌化疗所致恶心呕吐效果观察)

Abstract

Objective To investigate the effect of Traditional Chinese Medicine (TCM) nursing technology in prevention and treatment of chemotherapy-induced nausea and vomiting in patients with breast cancer, and its effect in relief of negative emotion. Methods Totally 80 hospitalized patients with breast cancer were randomly divided into the control group and study group, with 40 cases in each group. All patients received anti-nausea drugs treatment and routine care, and those in the study group were given TCM nursing interventions. The gastrointestinal reactions of patients were recorded during the chemotherapy, and the efficacy of intervention in control of chemotherapy-induced nausea and vomiting was evaluated. The Self-rating Anxiety Scale (SAS) was used to evaluate patient anxiety. Results The effective rate of controlling chemotherapy-induced nausea and vomiting in the study group was higher than that in the control group (P＜0. 01). The VAS score dropped in both two groups after intervention, and VAS score in the study group was lower than that in the control group (P＜0. 01). Conclusion Based on the anti-nausea drugs treatment and routine care, the TCM nursing is able to further improve the efficiency in control of nausea and vomiting and relief of anxiety in patients undergoing chemotherapy for breast cancer (目的 探讨中医护理技术防治乳腺癌化疗所致恶心呕吐的效果, 以及对患者不良情绪的改善作用。方法 将住院治疗的80例乳腺癌化疗患者随机分为对照组与研究组, 各40例。对照组采用常规药物治疗和护理, 研究组在对照组基础上增加中医护理干预。记录两组化疗期间消化道反应, 评价干预后恶心呕吐控制效果, 采用焦虑自评量表(VAS)评价患者焦虑程度。结果 治疗10 d后, 研究组恶心呕吐程度较对照组轻, 差异有统计学意义(P＜0. 01)。干预后, 两组VAS评分均较干预前下降, 且研究组VAS评分低于对照组, 差异有统计学意义(P＜0. 01)。结论 在常规止吐治疗和护理的基础上, 中医护理干预能够进一步改善乳腺癌患者化疗所致恶心、呕吐程度, 同时缓解患者焦虑情绪。)

Keywords

• traditional chinese medicine nursing
• nausea
• vomiting
• breast cancer
• chemotherapy
• 中医护理
• 恶心
• 呕吐
• 乳腺癌
• 化疗