Obstacles to the Implementation of Antiemetic Guidelines
Obstacles to the Implementation of Antiemetic Guidelines
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DOI：
10.6004/jnccn.2009.0040
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发表时间：
2009-05-01
影响因子：
13.4
通讯作者：
Grunberg, Steven M.
中科院分区：
文献类型：
--
作者：
Grunberg, Steven M.
尽管指南帮助医生提供高质量的临床护理，但除非达到熟悉和遵守，否则影响将微乎其微。虽然恶心和呕吐是人们高度担心的化疗毒性，会显著降低患者的生活质量，但医生行为的改善和护理标准的提高，特别是在预防延迟性呕吐方面，一直进展缓慢。格式、目标、医生教育和机构教育的不同都可能影响指南的实施和最先进的护理。必须考虑这些因素与止吐指南的科学基础之间的关系，以达到最佳效果和遵从性。(JNCCN 2009；7：601-605)
Although guidelines help physicians deliver high quality clinical care, they will have minimal impact unless familiarity and adherence are achieved. Although nausea and vomiting are highly feared toxicities of chemotherapy that markedly decrease patient quality of life, modifications in physician behavior and improvements in standards of care, particularly in terms of preventing delayed emesis, have been slow. Variations in format, goals, physician education, and institutional education may all affect guideline implementation and state-of-the-art care. The relationship between these factors and the scientific basis of antiemetic guidelines must be considered to achieve optimal results and compliance. (JNCCN 2009;7:601-605)