- 期刊
提升腫瘤病房放射性皮膚炎照護正確性
Improved Nursing Care for Radiation Dermatitis on an Oncology Ward
摘要
放射性皮膚炎照護必須仰賴護理人員的評估及正確照護，以降低皮膚炎的程度並促進傷口癒合。本專案旨在提升腫瘤病房放射性皮膚炎照護。調查期間自2007年7月1日至7月20日，內容包括「放射性皮膚炎認知正確率」及「放射性皮膚炎照護正確率」二部分。結果發現：護理人員放射性皮膚炎認知正確率及放射性皮膚炎照護正確率偏低。分析原因為：缺乏放射性皮膚炎照護標準與評值規範及教育訓練。經由制定放射性皮膚炎照護標準與照護技術教學光碟、用藥及敷料手冊並舉辦教育訓練後，護理人員放射性皮膚炎認知正確率由63%提升到88.12%，而放射性皮膚炎照護正確率由58.2%提升至93.4%。藉由於本專案的推動，終於建立一套完善的放射性皮膚炎照護標準，作為未來照護品質持續改善之依據。
並列摘要
Accurate evaluation and care by the nursing staff is necessary to reduce the extent of radiation dermatitis and promote wound healing. The purpose of this project was to improve the understanding and skills of the nursing staff on an oncology ward in dealing with radiation dermatitis. The study period was from July 1 to July 20, 2007. An initial assessment indicated that only 63% of the staff accurately recognized radiation dermatitis and only 58.2% demonstrated appropriate skills in managing it. These deficits were addressed by establishing clear standards of care; a method for evaluating nursing skills; and professional training, including use of a technical education video and dressing manuals. After institution of these measures, 88.1% of the staff accurately assessed radiation dermatitis and 93.4% used appropriate skills in caring for it. The nursing care standards and professional training used in this project succeeded in raising the standard of nursing care for radiation dermatitis on this oncology ward.
延伸閱讀
- 林怡君、龔昱如、宋瑞蘭、康琇菱、呂佩珍、謝佩琪（2019）。提升腫瘤科護理師執行標靶藥物引發皮膚反應之衛教正確執行率。腫瘤護理雜誌，19()，151-167。https://doi.org/10.6880/TJON.201903/SP_19.13
- 陳妤甄（2020）。針對上泌尿道上皮癌併手術高風險病人，探討使用放射線作為非手術替代治療之臨床療效與副作用〔碩士論文，高雄醫學大學〕。華藝線上圖書館。https://www.airitilibrary.com/Article/Detail?DocID=U0011-2505202011091400
- 王愈善、季匡華（2011）。改善腫瘤微環境與放射敏感性的關係。放射治療與腫瘤學，18(3)，225-231。https://doi.org/10.6316/TRO/201118(3)225
- Kuo, Y. T., Chern, Y. J., Lin, Y. C., Hsu, Y. J., Tsai, W. S., Hsieh, P. S., Hung, H. Y., Yeh, C. Y., Chiang, S. F., Lai, C. C., You, J. F., Tang, R. P., Chen, J. S., Chiang, J. M., & Liao, C. K. (2021). Short-course Radiation Therapy Followed by Chemotherapy as Preoperative Treatment for Rectal Cancer. 中華民國大腸直腸外科醫學會雜誌, 32(1), 7-16. https://doi.org/10.6312/SCRSTW.202103_32(1).10920
- 徐小惠、吳佳芬（2013）。A Nursing Experience of a Patient with Radiation-Induced Skin and Mucosal Reactions from Ongoing Radiation Therapy。志為護理-慈濟護理雜誌，12(5)，84-93。https://www.airitilibrary.com/Article/Detail?DocID=16831624-201310-201310250010-201310250010-84-93