化疗冷却手套在预防接受化疗的泰国妇女指甲中毒方面的功效:一项准实验研究

K. Yodchai, Sakorn Hubjaroen, Ketsaree Maneekrong, N. Uthaipan
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引用次数: 0

摘要

冷冻疗法广泛应用于健康领域,包括急救、治疗急性肌肉骨骼损伤和接受化疗的妇女。研究表明,冷冻手套有助于减轻接受化疗的妇女的指甲毒性。指甲中毒是接受化疗者的常见问题,会导致毁容和疼痛。虽然有研究表明,冷却手套可以减轻指甲毒性,但使用的温度范围仍不明确,往往会造成不适。在这项创新性研究中,我们采用了准实验、两组前测-后测的设计,来评估研究人员开发的化疗降温手套在帮助预防指甲中毒方面的效果。我们评估了 27 名接受化疗的泰国妇女对手套的满意度,这些妇女是根据纳入标准从泰国南部地区一所大学附属医院的化疗中心有目的地招募的。参与者接受了环磷酰胺联合多柔比星和 5-氟尿嘧啶的治疗,每 21 天一次,共六个周期。每位受试者随机选择一只手作为对照,戴上降温手套,另一只手则不戴手套,作为对照。数据收集采用了人口统计学问卷、不良事件通用术语标准 3.0 版和化疗降温手套满意度问卷。数据分析采用了描述性统计和 Cochran's Q 检验。结果显示,在第 2 至 3 个周期和第 2 至 4 个周期中,受保护手的指甲毒性明显低于对照手,但在第 2 至 5 个周期和第 2 至 6 个周期中,两只手的指甲毒性没有明显差异。化疗冷却手套的总体满意度最高。冷冻手套的使用符合循证实践,我们的研究也证明了这一点。护士需要接受正确使用和应用手套的培训,并向患者宣传手套的益处和正确使用方法,以最大限度地提高舒适度和疗效。通过将化疗降温手套纳入日常实践,护士可以帮助提高患者对化疗方案的依从性,并有可能提高治疗效果。
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The Efficacy of Chemo-Cooling Gloves in Preventing Nail Toxicity among Thai Women Undergoing Chemotherapy: A Quasi-experimental Study
Cryotherapy is widely used in health contexts, including first aid, treating acute musculoskeletal injuries and women undergoing chemotherapy. Studies have shown that frozen gloves can help reduce nail toxicity for women undergoing chemotherapy. Nail toxicity is a common issue among people undergoing chemotherapy, causing disfigurement and pain. Although cooling gloves have been shown to reduce nail toxicity, the range of temperatures used remains unclear, often resulting in discomfort. In this innovative study, we used a quasi-experimental, two group pretest-posttest design to evaluate the effectiveness of Chemo-Cooling Gloves developed by the researchers to help prevent nail toxicity. We assessed satisfaction with the gloves among 27 Thai women undergoing chemotherapy who were purposively recruited according to the inclusion criteria from a chemotherapy center of a university-affiliated hospital in a southern region of Thailand. Participants underwent a regimen of cyclophosphamide in combination with doxorubicin and 5-fluorouracil every 21 days for six cycles. Each participant served as their own control, wearing the cooling glove on the one hand randomly selected, while the other hand remained unprotected and acted as the control. Data were collected using a demographic questionnaire, the Common Terminology Criteria for Adverse Events version 3.0, and the Chemo-Cooling Gloves Satisfaction Questionnaire. Data analysis utilized descriptive statistics and Cochran’s Q test. The results revealed that nail toxicity was significantly lower in the protected hand than in the control hand during cycles 2 to 3 and 2 to 4, but no significant difference between the two hands during cycles 2 to 5 and 2 to 6. Overall satisfaction with the Chemo-Cooling Gloves was at the highest level. The use of frozen gloves aligns with evidence-based practice, as supported by our study. Nurses need to be trained in the proper use and application of the gloves and educate patients on the benefits and correct usage to maximize comfort and efficacy. By incorporating the Chemo-Cooling Gloves into routine practice, nurses can help improve patient adherence to chemotherapy regimens and potentially enhance treatment outcomes.
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3
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