運用多元化策略提升乳癌病人化學治療照護完整率

The Use of Diversified Teaching Strategies to Promote the Integrity of the Completeness Rate in the Care of Breast Cancer Patients for Chemotherapy

李素菊(Su-Chu Li) ； 姜美夙(Mei-Su Chiang) ； 陳盈樺(Ying-Hua Chen) ； 葉玟均(Wen-Chun Yeh) ； 王美文(Mei-Wen Wang) ； 張秋媛(Chiu-Yuan Chang)

《志為護理-慈濟護理雜誌》 20卷3期 (2021/06) Pp. 94-105

摘要

臨床發現病人於返家後打電話至護理站詢問相關副作用及其處理方法，其件數有增加，故引發動機。分析原因為：未落實提供衛教單張；輕忽衛教重要性；指導方式不一致；對於化療新藥認知不足；衛教指導工具不夠完善，未符合病人需求；缺乏稽核制度；教育訓練不足。擬定解決對策：舉辦在職教育、設計化學治療自我照護手冊、製作照護影片、制訂護理指導標準作業流程、設計創意口訣記憶法、擬定監測機制。結果顯示護理人員執行化學治療照護完整率由65.2%提升至95.7%，乳癌病人認知正確率由61.7%提升至90.6%，因專案實施效果顯著，已平行推展至同質性一般外科病房。

關鍵字

多元化教學 ； 乳癌 ； 化學治療

並列摘要

This study aimed to find out in clinical status the rate of patients consulting by phone concerning the side-effects of chemotherapy and interventions of symptoms that increased after being discharged. Upon thorough investigation, the following reasons were indicated: nurses did not offer instructional manual about chemotherapy self-care to patients; the nurses were reckless about the importance of teaching patients about self-care after they have been discharged; the nurses were inconsistent in providing health education; the nurses had lack of knowledge about new chemotherapy drugs; the nurses had insufficient instruction material that did not fit patients' needs; the lack of standard auditing; and insufficient nursing training. After analyzing the aforementioned reasons, some strategies were formulated. These include providing education training, creating handbooks about self-care after chemotherapy, making videos, developing standard procedures of health education, creating pithy formulas, and establishing an auditing checklist of nursing instruction. After the interventions were executed, the results indicated that the completion rate increased from 65.2% up to 95.7%. Moreover, the rate of knowledge about self-care for breast cancer patients after chemotherapy increased from 61.7% to 90.6%. Thus, this project is being campaigned to other similar surgical wards.

並列關鍵字

breast cancer ； chemotherapy ； diversified teaching

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