Investigation on oncology nurses' knowledge, attitude, and practice toward chemotherapy-induced nausea and vomiting

doi:10.3760/cma.j.issn.1007-1245.2024.04.029

Abstract

Abstract:

Objective　To explore oncology nurses' knowledge, attitude, and practice (KAP) toward chemotherapy-induced nausea and vomiting (CINV). Methods　Using a convenience sampling method, from July 21, 2021 to August 31, 2021, a questionnaire survey was conducted on 218 oncology nurses from 3 third-class A hospitals in Guangdong Province (Sun Yat-sen University Cancer Center, Guangdong Provincial People's Hospital, and Guangdong Second Provincial General Hospital). The questionnaire included general demographic data (hospital nature, gender, age, educational background, professional title, and working years) and scores of knowledge, attitude, and practice toward CINV. Independent sample t test and F test were used. Results　The results of oncology nurses' knowledge, attitude, and practice toward CINV showed that working years were related to nurses' CINV knowledge score, whether they had received CINV-related education was related to nurses' CINV knowledge and practice scores, and age and professional title were related to nurses' CINV attitude score, with statistically significant differences (all P<0.05). The knowledge score of oncology nurses toward CINV was (7.75±3.11), the attitude score was (34.40±4.07), and the practice score was (36.11±8.73). Conclusions　Nurses' knowledge and practice toward CINV need to be improved. We should encourage and promote nurses to use international guidelines to guide CINV assessment and nursing practice to provide a favorable basis for the construction of scientific CINV curriculum and practice training system.

Key words:

Chemotherapy-induced nausea and vomiting, Nurses, Knowledge, attitude, and practice, Investigation

摘要：

目的　调查肿瘤科护士对化疗相关性恶心呕吐（CINV）知识、态度和行为的现状。方法　采用便利抽样方法，于2021年7月21日至2021年8月31日对广东省3所三甲医院（中山大学肿瘤防治中心、广东省人民医院及广东省第二人民医院）共218名肿瘤科护士进行问卷调查，问卷内容包括一般人口学资料（医院性质、性别、年龄、学历、职称、工作年限等）和CINV知信行得分。采用独立样本t检验、F检验。结果　肿瘤科护士对CINV知信行得分结果显示：工作年限与护士CINV知识得分有关，是否接受CINV相关教育与护士CINV知识及行为得分有关，年龄、职称与护士CINV态度得分有关，差异均有统计学意义（均P<0.05）；肿瘤科护士对CINV的知识得分为（7.75±3.11）分，态度得分为（34.40±4.07）分，行为得分为（36.11±8.73）分。结论　护士对CINV的知识和实践水平有待提高，鼓励和促进护士使用国际指南指导CINV评估和护理实践，为构建科学的CINV课程和实践培训体系提供有利依据。

关键词:

化疗相关性恶心呕吐, 护士, 知信行, 调查

Huang Minqing, Zhuang Wenxing, Wang Ying, Qiu Lihuan, Wang Fang.

Investigation on oncology nurses' knowledge, attitude, and practice toward chemotherapy-induced nausea and vomiting [J]. International Medicine and Health Guidance News, 2024, 30(4): 657-661.

黄敏清庄文行王影邱丽欢王方.

肿瘤科护士化疗相关性恶心呕吐知信行现状的调查研究 [J]. 国际医药卫生导报, 2024, 30(4): 657-661.

References

[1] 倪宏,刘玉,覃惠英,等. 化疗相关性恶心呕吐的非药物干预研究进展[J]. 护理研究,2020,34(20):3674-3677. DOI:10.12102/j.issn.1009-6493.2020.20.021.
[2] 昝玲玲,王萍,蔡兴隆,等. 米氮平用于乳腺癌EC方案化疗防控恶心呕吐的临床观察[J]. 国际医药卫生导报,2020,26(18):2737-2740. DOI:10.3760/cma.j.issn.1007-1245. 2020.18.020.
[3] Al Qadire M, Alkhalaileh M. Jordanian oncology nurses' knowledge of managing chemotherapy-induced nausea and vomiting[J]. Br J Nurs, 2018, 27(10): S4-S12. DOI: 10.12968/bjon.2018.27.10.S4.
[4] 顾玲俐,李静. 化疗相关性恶心呕吐的评估和管理的循证实践[J]. 护士进修杂志,2016,31(20):1877-1880. DOI:10.16821/j.cnki.hsjx.2016.20.019.
[5] 许辉. 肿瘤化疗病人恶心、呕吐健康教育需求调查[J]. 护理研究,2017,31(33):4278-4280. DOI:10.3969/j.issn.1009-6493.2017.33.031.
[6] Krishnasamy M, Kwok-Wei So W, Yates P, et al. The nurse's role in managing chemotherapy-induced nausea and vomiting: an international survey[J]. Cancer Nurs, 2014, 37(4): E27- E 35. DOI: 10.1097/NCC.0b013e3182a3534a.
[7] 田畅,苏帼慧,强万敏,等.肿瘤科护士对化疗性恶心呕吐护理认知状况的调查[J].护理学杂志,2015,30(23):1-4.
[8] Heale R, Twycross A. Validity and reliability in quantitative studies[J]. Evid Based Nurs, 2015, 18(3): 66-67. DOI: 10.1136/eb-2015-102129.
[9] 徐涛,陈飞. 沙利度胺减轻肿瘤患者伊立替康化疗毒性及改善生活质量的临床效果分析[J]. 国际医药卫生导报,2021,27(24):3861-3864. DOI:10.3760/cma.j.issn.1007-1245. 2021.24.029.
[10] Li QW, Yu MW, Wang XM, et al. Efficacy of acupuncture in the prevention and treatment of chemotherapy-induced nausea and vomiting in patients with advanced cancer: a multi-center, single-blind, randomized, sham-controlled clinical research[J]. Chin Med, 2020, 15: 57. DOI: 10.1186/s13020-020-00333-x.
[11] Cope DG. Clinical updates in nausea and vomiting[J].Semin Oncol Nurs, 2022, 38(1): 151249. DOI: 10.1016/j.soncn.2022.151249.
[12] Chan RJ, Yates P, Li Q, et al.Oncology practitioners' perspectives and practice patterns of post-treatment cancer survivorship care in the Asia-Pacific region: results from the STEP study[J]. BMC Cancer, 2017, 17(1): 715. DOI: 10.1186/s12885-017-3733-3.
[13] 李金花,李旭英,谭艳,等. 多学科管理模式在乳腺癌患者化疗所致恶心呕吐中的应用[J]. 中国护理管理,2018,18(3):367-372. DOI:10.3969/j.issn.1672-1756.2018.03.018.
[14] Al Qadire M. Chemotherapy-induced nausea and vomiting: incidence and management in jordan[J]. Clin Nurs Res, 2018, 27(6): 730-742. DOI: 10.1177/1054773817704586.
[15] Hu J, Shen Y, Zhang G, et al. Effect of acupoint therapies on chemotherapy-induced nausea and vomiting: a systematic review protocol[J]. Medicine (Baltimore), 2019, 98(37): e17109. DOI: 10.1097/MD.0000000000017109.
[16] Eghbali M, Yekaninejad MS, Varaei S, et al. The effect of auricular acupressure on nausea and vomiting caused by chemotherapy among breast cancer patients[J]. Complement Ther Clin Pract, 2016, 24: 189-194. DOI: 10.1016/j.ctcp.2016.06.006.
[17] 周成成,王翠玲,任俏丽,等. 绘画疗法对女性肺癌病人化疗相关性恶心呕吐和生活质量的影响[J]. 护理研究,2020,34(15):2788-2792. DOI:10.12102/j.issn.1009-6493. 2020.15.039.
[18] 毛婷,谌永毅,刘翔宇,等. 经皮穴位电刺激联合胃肠起搏对肺癌病人化疗相关性恶心呕吐的影响[J]. 护理研究,2021,35(14):2565-2570. DOI:10.12102/j.issn.1009-6493. 2021.14.023.
[19] 李旭英,谌永毅,石汉平,等. 化疗并发症预警模型在乳腺癌患者中的应用研究[J]. 中华护理杂志,2018,53(11):1338-1342. DOI:10.3761/j.issn.0254-1769.2018.11.011.
[20] 张鲁敏,顾芬,任皎皎,等. 护理领域患者报告结局的研究热点分析[J]. 医院管理论坛,2021,38(5):50-55. DOI:10.3969/j.issn.1671-9069.2021.05.014.