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台灣放射腫瘤科護理模式之調查與方向

The Investigation and Future Direction of Radiation Oncology Nurse Model in Taiwan

摘要


目的:現代癌病醫療,放射腫瘤部門佔有非常重要的地位,然而目前國內醫界對放射腫瘤科護理人員工作職掌認識不清,以致無所遵循,故藉由本文探討,分析目前之現況,作為日後放射腫瘤科護理人員角色確定之參考,以提升護理品質,嘉惠病患。 材料與方法:對象係國內11家醫學中心放射腫瘤科之主管,依85年5月問發出之問卷內容,採不記名方式回答,依此資料做整理分析。 結果:發出11份信件,有效回收10件。放射腫瘤科護理人員工作職掌,包括跟診、協助近接治療、協談、癌病登記、追踪、照護化學治療、營養衛教、安排病患治療作業流程等。其中全職護理人員最多的部門有12人,最少的只有2人;有5家醫院護理人員要兼做化學治療。每年有護理人員升等考試的只有2家。 討論:多數放射腫瘤科主管皆認為護理人力不足,為目前亟待解決之問題。國內護理腫瘤學會或放射腫瘤學會應設立放射腫瘤護理標準,配合適當的訓練課程,使放射腫瘤護理人員角色更明確,才能讓院方主管重視,使有足夠護理人員,進而提升護理品質。 [放射治療與腫瘤學1997;4;285-289]

並列摘要


Purpose:Radiation therapy has an important role in cancer management. However, the responsibilities of nursing care in the department of radiation oncology are still controversy. In this study, we investigated, analyzed the current situation of the role of radiation oncology nurses in order to raise the quality of nursing care in this aspect. Materials and Methods:On May, 1997, we designed a questionnaires for 11 medical centers and analyzed the different duties of radiation oncology nurses in their departments. Results:10 questionnaires had been returned for analysis. The duties of radiation oncology nurse included outpatient clinic service, brachytherapy care, patient education, cancer registration, chemotherapy service, nutritional consultation, patient's treatment arrangement etc. The number of full time nurses in the departments ranged from 2 to 12. The nurses have the duty of chemotherapy service in 5 hospitals. Only two departments have annual qualified examination for the nurses. Conclusion:Most of the department chairmen have complained the manpower of nurses are not enough for the daily duties. The Oncology Nursing Society and Radiation Oncology Society should have the responsibility to establish the standard of nursing care in the department of radiation oncology. Hence, the hospital administrators will conform to this standard to adjust the manpowers in the department of radiation oncology. [Therapeut Radiol Oncol 1997;4:285-289]

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