Use of clinical pictures in the management of nausea and vomiting: a prospective audit

被引：41

作者：

Bentley, A ^{[1
]}

Boyd, K ^{[1
]}

机构：

[1] Marie Curie Ctr, Edinburgh EH10 7DR, Midlothian, Scotland

来源：

PALLIATIVE MEDICINE | 2001年 / 15卷 / 03期

关键词：

audit; antiemetics; nausea; neoplasms; palliative treatment; vomiting;

D O I：

10.1191/026921601678576239

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

This prospective audit aimed to evaluate a guideline for the management of nausea and vomiting in palliative care inpatients. Clinical pictures were used to guide diagnosis and treatment, with potentially reversible causes being addressed where appropriate. Over a 3-month period, 40 patient episodes occurred, all of which were included in the audit. The commonest clinical pictures were gastric stasis/outlet obstruction (35%) and chemical/metabolic (30%). Management according to the guideline was effective. Nausea was abolished in 28 of 34 cases (82%) and vomiting resolved completely in 26 of 31 cases (84%). Symptoms were totally controlled in a mean time of 3.4 days. Nausea and vomiting, although distressing symptoms, can be controlled in the majority of cases. Multi-centre prospective audit, using a standardized tool, may prove useful in allowing larger numbers of patients to be systematically analysed and individual centres to compare outcomes.

引用

页码：247 / 253

页数：7