CAJ | 학술논문

目的探讨丝裂霉素热灌注化疗治疗膀胱癌的不良反应并建立其监测与护理模式.方法收集125例术后丝裂霉素热灌注化疗的膀胱癌病例,监测化疗期间的不良反应,制定其分类、等级、预警值,开发不良反应的监测程序并建立相应的护理制度.结果不良反应主要有膀胱疼痛(32.0％)、尿频尿急感(20.8％)、恶心呕吐(15.2％)、腹泻腹痛(8.0％)等.根据不良反应的分布,建立监测表,设定不良反应的等级(1～3级)、预警值和相应的护理干预程序.结论建立膀胱癌丝裂霉素热灌注化疗不良反应的护理监测模式,使不良反应的监测和护理具有较好的操作性和实效性.
목적 탐토사렬매소열관주화료치료방광암적불량반응병건립기감측여호리모식.방법 수집125례술후사렬매소열관주화료적방광암병례,감측화료기간적불량반응,제정기분류、등급、예경치,개발불량반응적감측정서병건립상응적호리제도.결과 불량반응주요유방광동통(32.0％)、뇨빈뇨급감(20.8％)、악심구토(15.2％)、복사복통(8.0％)등.근거불량반응적분포,건립감측표,설정불량반응적등급(1～3급)、예경치화상응적호리간예정서.결론 건립방광암사렬매소열관주화료불량반응적호리감측모식,사불량반응적감측화호리구유교호적조작성화실효성.
Objective To explore the adverse reactions of thermal perfusion of mitomycin C for bladder carcinoma and to establish the monitoring and nurse model.Methods 125 patients with bladder carcinoma undergoing thermal perfusion of mitomycin C after the removal of tumors were collected and retrospectively analyzed.The adverse reactions were monitored.The values of classification,grade,and warning were set.The monitoring procedures and corresponding nurse system of adverse reactions Were established.Results The main adverse reactions included bladder pain (32.0％,40/125),frequent urination or feeling a sense of urgency (20.8％,26/125),nausea or vomiting (15.2％,19/125),diarrhea or abdominal pain (8.0％,10/125),etc.Adverse reactions monitoring table was set according its frequency;they were classified and graded(1-3 grades).Warning value and nurse procedures were set.Conclusions The establishment of the monitoring procedures and corresponding nurse system of adverse reactions is practical and effective for thermal perfusion of mitomycin C for bladder carcinoma.