Application of nurse‐led CINV management scheme based on risk assessment in breast cancer patients

Abstract Background As one of the common adverse reactions after chemotherapy in breast cancer patients, chemotherapy‐induced nausea and vomiting (CINV) seriously affects the quality of life of breast cancer patients. Objective To explore the application effect of nurse‐led CINV management scheme ba...

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Main Authors: Yun Ning, Liuliu Zhang, Xiaoxu Zhi, Yun Zhao, Ying Fang, Bing Wu, Zhujie Xu, Lixin Huang, Yi Pei
Format: Article
Language:English
Published: Wiley 2024-12-01
Series:Precision Medical Sciences
Subjects:
Online Access:https://doi.org/10.1002/prm2.12132
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author Yun Ning
Liuliu Zhang
Xiaoxu Zhi
Yun Zhao
Ying Fang
Bing Wu
Zhujie Xu
Lixin Huang
Yi Pei
author_facet Yun Ning
Liuliu Zhang
Xiaoxu Zhi
Yun Zhao
Ying Fang
Bing Wu
Zhujie Xu
Lixin Huang
Yi Pei
author_sort Yun Ning
collection DOAJ
description Abstract Background As one of the common adverse reactions after chemotherapy in breast cancer patients, chemotherapy‐induced nausea and vomiting (CINV) seriously affects the quality of life of breast cancer patients. Objective To explore the application effect of nurse‐led CINV management scheme based on risk assessment in breast cancer patients. Methods The researchers selected 90 breast cancer patients who received chemotherapy at Jiangsu Cancer Hospital from June 1, 2022, to June 1, 2023. The patients were divided into control group and intervention group. The control group implemented the routine nursing mode, and the intervention group implemented the nurse‐led intervention program based on risk assessment. On this basis, the intervention group applied the symptom management theory to the construction of intervention strategy to compare the CINV situation, quality of life, and psychological distress level between the two groups. Results The frequency of vomiting and the degree of nausea in the delayed stage were lower in the intervention group than in the control group, and the difference was statistically significant (p<.05). The life function index of nausea and vomiting in acute stage and delayed stage was higher in the intervention group than in the control group, and the differences were statistically significant (p<.05). The psychological pain scores of the two groups in the acute stage and the delayed stage were lower in the intervention group than in the control group, and the differences were statistically significant (p<.05). Conclusion Nurse‐led CINV management scheme based on risk assessment can effectively reduce the frequency of vomiting, reduce the degree of nausea, improve the quality of life, and alleviate psychological pain in breast cancer patients.
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spelling doaj-art-cd5f0d62669a406f8a3adc8ffbd286502024-12-12T23:46:33ZengWileyPrecision Medical Sciences2642-25142024-12-0113423224110.1002/prm2.12132Application of nurse‐led CINV management scheme based on risk assessment in breast cancer patientsYun Ning0Liuliu Zhang1Xiaoxu Zhi2Yun Zhao3Ying Fang4Bing Wu5Zhujie Xu6Lixin Huang7Yi Pei8Jiangsu Cancer Hospital Nanjing ChinaJiangsu Cancer Hospital Nursing Department Nanjing ChinaJiangsu Cancer Hospital Nursing Department Nanjing ChinaJiangsu Cancer Hospital Nursing Department Nanjing ChinaJiangsu Cancer Hospital Nanjing ChinaJiangsu Cancer Hospital Nursing Department Nanjing ChinaJiangsu Cancer Hospital Nanjing ChinaJiangsu Cancer Hospital Nanjing ChinaJiangsu Cancer Hospital Nanjing ChinaAbstract Background As one of the common adverse reactions after chemotherapy in breast cancer patients, chemotherapy‐induced nausea and vomiting (CINV) seriously affects the quality of life of breast cancer patients. Objective To explore the application effect of nurse‐led CINV management scheme based on risk assessment in breast cancer patients. Methods The researchers selected 90 breast cancer patients who received chemotherapy at Jiangsu Cancer Hospital from June 1, 2022, to June 1, 2023. The patients were divided into control group and intervention group. The control group implemented the routine nursing mode, and the intervention group implemented the nurse‐led intervention program based on risk assessment. On this basis, the intervention group applied the symptom management theory to the construction of intervention strategy to compare the CINV situation, quality of life, and psychological distress level between the two groups. Results The frequency of vomiting and the degree of nausea in the delayed stage were lower in the intervention group than in the control group, and the difference was statistically significant (p<.05). The life function index of nausea and vomiting in acute stage and delayed stage was higher in the intervention group than in the control group, and the differences were statistically significant (p<.05). The psychological pain scores of the two groups in the acute stage and the delayed stage were lower in the intervention group than in the control group, and the differences were statistically significant (p<.05). Conclusion Nurse‐led CINV management scheme based on risk assessment can effectively reduce the frequency of vomiting, reduce the degree of nausea, improve the quality of life, and alleviate psychological pain in breast cancer patients.https://doi.org/10.1002/prm2.12132breast cancerCINVrisk assessmentsymptom management
spellingShingle Yun Ning
Liuliu Zhang
Xiaoxu Zhi
Yun Zhao
Ying Fang
Bing Wu
Zhujie Xu
Lixin Huang
Yi Pei
Application of nurse‐led CINV management scheme based on risk assessment in breast cancer patients
Precision Medical Sciences
breast cancer
CINV
risk assessment
symptom management
title Application of nurse‐led CINV management scheme based on risk assessment in breast cancer patients
title_full Application of nurse‐led CINV management scheme based on risk assessment in breast cancer patients
title_fullStr Application of nurse‐led CINV management scheme based on risk assessment in breast cancer patients
title_full_unstemmed Application of nurse‐led CINV management scheme based on risk assessment in breast cancer patients
title_short Application of nurse‐led CINV management scheme based on risk assessment in breast cancer patients
title_sort application of nurse led cinv management scheme based on risk assessment in breast cancer patients
topic breast cancer
CINV
risk assessment
symptom management
url https://doi.org/10.1002/prm2.12132
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