Application of nursing risk management in reducing malignant tumor chemotherapy adverse events

Abstract

Objective To explore the effect of nursing risk management in reducing malignant tumor chemotherapy adverse events.Methods One hundred and eighty-nine patients from November 2010 to November 2012 were randomly divided into the control group (n =94) and the observation group (n =95).The control group received the routine nursing,and the observation group received the nursing risk management.The incidence rates of malignant tumor chemotherapy adverse events and patient satisfaction were compared between the two groups.Results The incidence rates of adverse events in proteinuria,stomatitis,poor wound healing,hypertension,cerebral vascular accident in the observation group were respectively 1.1％,2.1％,1.1％,2.1％,0.0％,and were lower than 5.3％,6.4％,4.3％,7.4％,2.1％ in the control group,and the differences were not statistically significant (P ＞ 0.05).Theincidence rates of adverse events in nausea and vomiting,diarrhea,peripheral neuritis,bone marrow suppression,hemorrhage,abnormal liver function,hand-foot syndrome,allergic reactions,fever,fatigue in the observation group were respectively 48.4％,56.8％,15.8％,44.2％,3.2％,8.4％,5.3％,6.3％,7.4％,32.6％,and were lower than 72.3％,76.6％,27.7％,67.0％,11.7％,19.1％,14.9％,17.0％,18.1％,52.1％ in the control group,and the patients satisfaction was 96.8％ in the observation group was significantly higher than 79.8％ in the control group,and the differences were statistically significant (x2 =11.294,8.297,3.919,9.957,5.029,4.583,4.846,5.265,4.895,7.357,13.362,respectively;P ＜ 0.05).Conclusions Nursing risk management can significantly decrease the incidence of malignant tumor chemotherapy adverse events,has higher security,and is worthy of clinical application. Key words: Malignant tumor; Chemotherapy; Nursing risk management; Adverse event