CAJ | 학술논문

目的：了解肿瘤科护士对化疗诱发恶心呕吐反应相关知识的掌握程度和临床实践的情况，为提高临床护士临床实践技能，促进化疗诱发恶心呕吐反应的有效管理提供依据。方法采用自行设计的问卷，对江苏省中医院、江苏省肿瘤医院的105名肿瘤科护士进行问卷调查，内容包括一般人口学资料、化疗诱发恶心呕吐的评估、控制及其影响因素等4个方面。结果在评估方面，48.1%的被调查者主要根据自己临床经验对患者化疗诱发恶心呕吐反应进行评估，只有42.6%的被调查者使用评估工具；34.0%的被调查者只有在患者汇报恶心呕吐时才会对其进行评估，只有31.1%进行规律性地评估。在控制方面，非药物疗法在化疗诱发恶心呕吐反应的控制中起到越来越重要的作用，但只有18.4%的被调查者采用非药物疗法对化疗诱发恶心呕吐反应进行干预，其中，转移注意力是临床最常用的方法。在阻碍因素方面，被调查者认为只有少部分患者主动汇报恶心呕吐反应情况（80.0%）、时间的限制及沉重的工作量（76.2%）是阻碍化疗诱发恶心呕吐反应有效控制的主要因素；在促进因素方面，被调查者认为选择合适的评估工具（47.6%）、建立控制方案（76.2%）及对临床护士进行化疗诱发恶心呕吐反应相关知识的专业培训（68.8%）是改善化疗诱发恶心呕吐反应预防控制的有效措施。结论大多数被调查者缺乏足够的化疗诱发恶心呕吐预防和控制的相关知识，建议加强临床护士化疗诱发恶心呕吐管理培训课程的继续教育，鼓励护士积极参与化疗诱发恶心呕吐管理的实践，共同促进化疗诱发恶心呕吐管理实践的标准化。
목적：료해종류과호사대화료유발악심구토반응상관지식적장악정도화림상실천적정황，위제고림상호사림상실천기능，촉진화료유발악심구토반응적유효관리제공의거。방법채용자행설계적문권，대강소성중의원、강소성종류의원적105명종류과호사진행문권조사，내용포괄일반인구학자료、화료유발악심구토적평고、공제급기영향인소등4개방면。결과재평고방면，48.1%적피조사자주요근거자기림상경험대환자화료유발악심구토반응진행평고，지유42.6%적피조사자사용평고공구；34.0%적피조사자지유재환자회보악심구토시재회대기진행평고，지유31.1%진행규률성지평고。재공제방면，비약물요법재화료유발악심구토반응적공제중기도월래월중요적작용，단지유18.4%적피조사자채용비약물요법대화료유발악심구토반응진행간예，기중，전이주의력시림상최상용적방법。재조애인소방면，피조사자인위지유소부분환자주동회보악심구토반응정황（80.0%）、시간적한제급침중적공작량（76.2%）시조애화료유발악심구토반응유효공제적주요인소；재촉진인소방면，피조사자인위선택합괄적평고공구（47.6%）、건립공제방안（76.2%）급대림상호사진행화료유발악심구토반응상관지식적전업배훈（68.8%）시개선화료유발악심구토반응예방공제적유효조시。결론대다수피조사자결핍족구적화료유발악심구토예방화공제적상관지식，건의가강림상호사화료유발악심구토관리배훈과정적계속교육，고려호사적겁삼여화료유발악심구토관리적실천，공동촉진화료유발악심구토관리실천적표준화。
Objective To understand the knowledge of chemotherapy-induced nausea and vomiting (CINV) of oncology nurses and its clinical practice, to improve clinical nurses ’ practice skill and to provide reference for efficient management of CINV. Methods A self-designed questionnaire on general demographic information, evaluation and control of CINV and its influencing factors was applied among 105 oncology nurses. Results In general, nurses (48.1%) evaluated CINV from their clinical experience and only 42.6% of them employed evaluation tools. Totally 34.0% of the nurses conducted evaluation when patients reported their CINV and only 31.1% conducted it regularly. Nonpharmacologic therapy played an increasingly important role in the control of CINV while only 18.4%of the nurses employed it and distraction topped the common ways in clinical. Causes impeding the control included few report of CINV (80.0%), time limitation and busy work (76.2%) and appropriate evaluation tools (47.6%), control plan (76.2%) and training related to CINV (68.8%) were significant to the prevention of CINV. Conclusion Without sufficient knowledge on CINV, most oncology nurses are in urgent need of CINV-related training and standardization of CINV management needs nurses ’ participation.