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目的探讨早期止吐护理对肺癌首次化疗患者胃肠道及睡眠的影响。方法选取2015年2月至2016年2月间在哈尔滨医科大学附属肿瘤医院住院并接受首次化疗的84例肺癌患者,采用随机数字表分为观察组和对照组,每组42例。两组患者化疗方案基本一致,对照组患者采用常规护理,观察组患者在常规护理的基础上采用早期止吐护理,比较两组患者化疗7d时的恶心、呕吐、食欲以及睡眠情况。结果观察组患者化疗第7d时恶心、呕吐和食欲评分均低于对照组患者,两组比较差异有统计学意义(P<0.05)。观察组患者化疗第7d时入睡时间、睡眠质量、睡眠时间和药物催眠评分均低于对照组患者,两组比较差异有统计学意义(P<0.05)。结论早期止吐护理能够减轻肺癌首次化疗患者的恶心呕吐程度,改善食欲,提高睡眠质量。
Objective To investigate the effect of early antiemetic nursing on the gastrointestinal tract and sleep in patients with initial chemotherapy of lung cancer. Methods Eighty-four patients with lung cancer admitted to Cancer Hospital of Harbin Medical University from February 2015 to February 2016 were divided into observation group and control group with 42 cases in each group. The two groups of patients with chemotherapy regimens were basically the same, the control group of patients with conventional care, the observation group of patients on the basis of routine care using early antiemetic care, two groups of patients were compared at 7d of nausea, vomiting, appetite and sleep. Results The scores of nausea, vomiting and appetite in the observation group were lower than those in the control group on the 7th day after chemotherapy. There was significant difference between the two groups (P <0.05). The sleep time, sleep quality, hypnosis and drug hypnosis scores of the observation group patients on the 7th day after chemotherapy were both lower than those of the control group. There was significant difference between the two groups (P <0.05). Conclusion Early antiemetic nursing can reduce the degree of nausea and vomiting, improve appetite and improve the quality of sleep in patients with initial chemotherapy of lung cancer.