目的 探讨护理风险管理在预防恶性肿瘤化疗不良事件发生中的作用.方法 选取2010年11月-2012年11月诊治的恶性肿瘤患者189例,随机分为两组:94例患者采用常规护理为对照组,95例患者采用护理风险管理为观察组,比较两组患者在恶性肿瘤化疗中不良事件的发生情况及患者满意度.结果 观察组蛋白尿(1.1％)、口腔炎(2.1％)、伤口愈合不良(1.1％)、高血压(2.1％)、脑血管意外(0.0％)等不良事件发生率均低于对照组(5.3％,6.4％,4.3％,7.4％,2.1％),但差异均无统计学意义(P＞0.05).观察组恶心呕吐发生率为48.4％,腹泻56.8％,末梢神经炎15.8％,骨髓抑制44.2％,出血3.2％,肝功能异常8.4％,手足综合征5.3％,过敏反应6.3％,发热7.4％,乏力32.6％,均低于对照组(72.3％,76.6％,27.7％,67.0％,11.7％,19.1％,14.9％,17.0％,18.1％,52.1％),观察组患者满意度为96.8％,明显高于对照组79.8％,差异均有统计学意义(x2值分别为11.294,8.297,3.919,9.957,5.029,4.583,4.846,5.265,4.895,7.357,13.362;P ＜0.05).结论 护理风险管理可明显降低多种恶性肿瘤化疗不良事件的发生概率,具有更高的安全性,值得临床推广使用.
目的 探討護理風險管理在預防噁性腫瘤化療不良事件髮生中的作用.方法 選取2010年11月-2012年11月診治的噁性腫瘤患者189例,隨機分為兩組:94例患者採用常規護理為對照組,95例患者採用護理風險管理為觀察組,比較兩組患者在噁性腫瘤化療中不良事件的髮生情況及患者滿意度.結果 觀察組蛋白尿(1.1％)、口腔炎(2.1％)、傷口愈閤不良(1.1％)、高血壓(2.1％)、腦血管意外(0.0％)等不良事件髮生率均低于對照組(5.3％,6.4％,4.3％,7.4％,2.1％),但差異均無統計學意義(P＞0.05).觀察組噁心嘔吐髮生率為48.4％,腹瀉56.8％,末梢神經炎15.8％,骨髓抑製44.2％,齣血3.2％,肝功能異常8.4％,手足綜閤徵5.3％,過敏反應6.3％,髮熱7.4％,乏力32.6％,均低于對照組(72.3％,76.6％,27.7％,67.0％,11.7％,19.1％,14.9％,17.0％,18.1％,52.1％),觀察組患者滿意度為96.8％,明顯高于對照組79.8％,差異均有統計學意義(x2值分彆為11.294,8.297,3.919,9.957,5.029,4.583,4.846,5.265,4.895,7.357,13.362;P ＜0.05).結論 護理風險管理可明顯降低多種噁性腫瘤化療不良事件的髮生概率,具有更高的安全性,值得臨床推廣使用.
목적 탐토호리풍험관리재예방악성종류화료불량사건발생중적작용.방법 선취2010년11월-2012년11월진치적악성종류환자189례,수궤분위량조:94례환자채용상규호리위대조조,95례환자채용호리풍험관리위관찰조,비교량조환자재악성종류화료중불량사건적발생정황급환자만의도.결과 관찰조단백뇨(1.1％)、구강염(2.1％)、상구유합불량(1.1％)、고혈압(2.1％)、뇌혈관의외(0.0％)등불량사건발생솔균저우대조조(5.3％,6.4％,4.3％,7.4％,2.1％),단차이균무통계학의의(P＞0.05).관찰조악심구토발생솔위48.4％,복사56.8％,말소신경염15.8％,골수억제44.2％,출혈3.2％,간공능이상8.4％,수족종합정5.3％,과민반응6.3％,발열7.4％,핍력32.6％,균저우대조조(72.3％,76.6％,27.7％,67.0％,11.7％,19.1％,14.9％,17.0％,18.1％,52.1％),관찰조환자만의도위96.8％,명현고우대조조79.8％,차이균유통계학의의(x2치분별위11.294,8.297,3.919,9.957,5.029,4.583,4.846,5.265,4.895,7.357,13.362;P ＜0.05).결론 호리풍험관리가명현강저다충악성종류화료불량사건적발생개솔,구유경고적안전성,치득림상추엄사용.
Objective To explore the effect of nursing risk management in reducing malignant tumor chemotherapy adverse events.Methods One hundred and eighty-nine patients from November 2010 to November 2012 were randomly divided into the control group (n =94) and the observation group (n =95).The control group received the routine nursing,and the observation group received the nursing risk management.The incidence rates of malignant tumor chemotherapy adverse events and patient satisfaction were compared between the two groups.Results The incidence rates of adverse events in proteinuria,stomatitis,poor wound healing,hypertension,cerebral vascular accident in the observation group were respectively 1.1％,2.1％,1.1％,2.1％,0.0％,and were lower than 5.3％,6.4％,4.3％,7.4％,2.1％ in the control group,and the differences were not statistically significant (P ＞ 0.05).Theincidence rates of adverse events in nausea and vomiting,diarrhea,peripheral neuritis,bone marrow suppression,hemorrhage,abnormal liver function,hand-foot syndrome,allergic reactions,fever,fatigue in the observation group were respectively 48.4％,56.8％,15.8％,44.2％,3.2％,8.4％,5.3％,6.3％,7.4％,32.6％,and were lower than 72.3％,76.6％,27.7％,67.0％,11.7％,19.1％,14.9％,17.0％,18.1％,52.1％ in the control group,and the patients satisfaction was 96.8％ in the observation group was significantly higher than 79.8％ in the control group,and the differences were statistically significant (x2 =11.294,8.297,3.919,9.957,5.029,4.583,4.846,5.265,4.895,7.357,13.362,respectively;P ＜ 0.05).Conclusions Nursing risk management can significantly decrease the incidence of malignant tumor chemotherapy adverse events,has higher security,and is worthy of clinical application.
