居家照護衛教及電話諮詢對化學治療期間患者之自我照顧、症狀困擾及感染預防之成效探討

Effects of Chemotherapy Home Care Education and Telephone Counseling on Leukemia Patients' Self-care, Symptoms Distress and Infection Prevention

莊紫雲(Tzu-Yun Chuang) ； 鍾玉珠(Yu-Chu Chung) ； 陳施妮(Shih-Ni Chen) ； 何秀玉(Hsiu-Yu Ho)

《腫瘤護理雜誌》 5卷1期 (2005/06) Pp. 15-26

https://doi.org/10.6880/TJON.200506_5(1).02

摘要

本研究目的爲探討對白血病患者化學治療期間提供居家照護衛教及電話諮詢對其自我照顧、症狀困擾及感染預防之成效探討。採類實驗研究設計，以立意取樣方式，選取台北市某醫學中心之血液腫瘤專科病房，依出院先後次序分成控制組35人與實驗組35人。控制組提供病房常規衛教及病房衛教手冊，實驗組於出院當天提供居家照護衛教及衛教手冊，並於出院第一、三週提供電話諮詢，兩組於出院後第四週進行結構性問卷調查。使用的工具包括自我照顧量表、症狀困擾量表（中文修改版）及感染指標。結果完成問卷的有63人，其中有效個案數實驗組34人，控制組29人，其餘7人入院。結果顯示實驗組自我照顧分數顯著高於控制組，症狀困擾顯著低於控制組，感染指標控制優於控制組，自我照顧愈好者其症狀困擾愈輕。本研結果可做爲白血病患者接受化學治療期間之居家出院衛教及追蹤處置之參考。

關鍵字

電話諮詢 ； 化學治療 ； 症狀困擾 ； 自我照顧 ； 感染預防

並列摘要

This study investigates the effects of home care education and telephone counseling on self-care, symptoms distress, and infection prevention in leukemia patients undergoing chemotherapy. A quasi-experimental research design was used in this study. Data were collected from the leukemia outpatient clinic at a teaching hospital in north Taiwan. Seventy samples that received chemotherapy were randomly assigned to either the control (n=35) or the experimental (n=35) group. The home care education was provided at the day of patients’ discharge, telephone counseling was given at the first week and the third week after the hospital discharge. The structured instruments including Self-Care Scale, Symptom Distress Scale (Chinese Modified Form, SDS-CMF), and Infective Indication were used in this study. Sixty-three samples completed questionnaire and the other 7 samples were hospitalized. Results of the study demonstrated that the experimental group had significantly higher self-care, less symptom distress, and better infection control than the control group. It was found that patients with higher scores on self-care had less symptom distress. The findings of this study provided evidence base for chemotherapy home care education and follow- up intervention for leukemia outpatients.

並列關鍵字

telephone counseling ； self-care ； symptom distress ； chemotherapy ； infection prevention