提昇化學治療病人對護理指導遵從率之改善方案

A Program of Improving the Compliance Rate of Chemotherapy Education for Cancer Patients at the Hematological Ward

張碧華(Pi-Hua Chang) ； 尹惠珊(Hui-Shan Yin) ； 蔡寶純(Bao-Chuem Tasy) ； 張家莉(Chia-Li Chang) ； 邱春幸(Chun-Hsing Chiu)

《榮總護理》 26卷4期 (2009/12) Pp. 418-426

https://doi.org/10.6142/VGHN.26.4.418

摘要

化學治療是所有癌症人口中接受治療方式比率最高的一種，若藥物副作用處理不當，將危及生命。本病房經現況分析，發現缺乏客製化衛教指導系統及監測作業務，以致化學治療病人對護理指導遵從率低，故本專案目的為提昇血液腫瘤病房化學治療病人對護理指導遵從率，設定兩項改善目標：化學藥物副作用認知率及化學治療居家照顧執行率。經設計、專家審視、建置及測試客製化衛教系統，透過在職教育及目標值監測，化學治療病人對衛教指導遵從率在化學藥物副作用認知率已達86.8%，但化學治療居家照顧執行率僅79.1%，仍有持續改善空間。藉由本專案的實施，滿足護理人員的工作需要，亦強調「以病人為中心」之服務品質。

關鍵字

化學治療 ； 護理指導 ； 遵從率

並列摘要

The aims of this program are to establish a Web-based electronic education system linking the Computerized Physician Order Entry system (CPOE) and to improve the compliance rate of chemotherapy education for cancer patients in hematological wards. For cancer patients chemotherapy is the primary treatment for improving health and delaying the disease's progression. Of course if not properly managed chemotherapy may threaten a cancer patient's life. After analyzing the reasons for low compliance rates, we set two indicators in this program: first, family with anti neoplastic drug side-effects and second the implementation rate of self-care at home. The thresholds were both set at 80%. From Jun. 2007 to Oct. 2007, we designed, revised, established and tested a knowledge-based patient-oriented chemotherapy education system. Then we instructed nurses how to use this system. We monitored two indicators every month from Nov. 2007 to Mar. 2008. The results showed patients' knowledge level reached 86.8%, while the implementation rate of self-care was only 79.1%. In conclusion, we hope to continue improving patients' implementation rate of self-care at home and also to share our patient-centered professional nursing experience with all other nurses.

並列關鍵字

chemotherapy ； patient education ； compliance