King C R
Special Care Consultants, Highland Hospital, Rochester, NY, USA.
Oncol Nurs Forum. 1997 Aug;24(7 Suppl):41-8.
PURPOSE/OBJECTIVES: To review the nonpharmacologic interventions indicated to prevent or control chemotherapy-induced nausea and vomiting.
Journal articles.
Despite improvements in antiemetic drug therapy, as many as 60% of patients with cancer who are treated with antineoplastic agents experience nausea and vomiting. Anticipatory nausea and vomiting are thought to be caused by the behavioral process of classical conditioning. Most nonpharmacologic interventions that are used to prevent or control nausea and vomiting in patients with cancer are classified as behavioral interventions. Behavioral interventions involve the acquisition of adaptive behavioral skills to interrupt the conditioning cycle.
Nonpharmacologic interventions appear to be effective in reducing anticipatory and post-treatment nausea and vomiting.
These behavioral interventions can be effective in reducing anticipatory and post-treatment nausea and vomiting. Oncology nurses must learn these nonpharmacologic techniques and teach their patients to use them in combination with their prescribed antiemetic therapy.
目的/目标：回顾用于预防或控制化疗引起的恶心和呕吐的非药物干预措施。
期刊文章。
尽管止吐药物治疗有所改进，但接受抗肿瘤药物治疗的癌症患者中仍有多达60%会出现恶心和呕吐。预期性恶心和呕吐被认为是由经典条件反射的行为过程引起的。大多数用于预防或控制癌症患者恶心和呕吐的非药物干预措施被归类为行为干预。行为干预包括获得适应性行为技能以中断条件反射循环。
非药物干预措施似乎对减少预期性和治疗后恶心和呕吐有效。
这些行为干预措施可有效减少预期性和治疗后恶心和呕吐。肿瘤护理人员必须学习这些非药物技术，并教导患者将其与规定的止吐治疗联合使用。
