目的:这项研究的目的是调查潜在的共同发生症状的影响,包括疲劳,睡眠障碍,焦虑,抑郁症状,和痛苦,关于乳腺癌手术后出院回家后两天测量的出院后恶心(PDN)的发生率。
方法:本研究采用前瞻性,横截面,观察性设计。
方法:样本为334名27至88岁的女性。从患者和手术前的医疗记录中收集人口统计学数据。术后48小时使用患者报告结果测量系统(PROMIS)和数字恶心和疼痛量表收集症状数据。
结果:85(25.4%)的研究参与者在出院后两天报告了一些恶心。经历过PDN的研究参与者经常描述它是在他们离开医院后开车回家后发生的。未调整的比值比显示存在同时发生的焦虑症状,疲劳,睡眠障碍,疼痛均与术后48小时出现恶心相关.与(PDN)相关的其他重要因素是晕动病史,妊娠引起的恶心病史,使用阿片类药物,和手术类型。
结论:为乳腺癌术后妇女提供术后教育的当日手术护士应向患者解释出院后可能发生恶心,尤其是那些已知晕动病的人。此外,应告知患者其他症状,尤其是疲劳,睡眠障碍,和焦虑,可能同时发生。
The purpose of this study was to investigate the influence of potential co-occurring symptoms, including fatigue, sleep disturbance, anxiety, depressive symptoms, and pain, on the incidence of postdischarge nausea (PDN) measured two days following discharge to home after surgery for breast cancer.
This study used a prospective, cross-sectional, observational design.
The sample was 334 women aged 27 to 88 years of age. Demographic data were collected from the patient and the medical record before surgery. Symptom data were collected 48 hours following surgery using the Patient Reported Outcome Measurement System (PROMIS) and numerical nausea and pain scales.
Eighty-five (25.4%) of study participants reported some nausea two days after discharge. Study participants who experienced PDN frequently described that it occurred after they left the hospital to drive home following their surgery. Unadjusted odds ratios showed the presence of co-occurring symptoms of anxiety, fatigue, sleep disturbance, and pain were all significantly associated with the presence of nausea 48 hours following surgery. Other significant factors associated with (PDN) were history of motion sickness, history of pregnancy-induced nausea, use of opioids, and type of surgery.
Same-day surgery nurses providing postoperative education for women following surgery for breast cancer should explain to patients that nausea may occur after they are discharged, especially those with known motion sickness. In addition, patients should be informed that other symptoms, especially fatigue, sleep disturbance, and anxiety, may co-occur.