- 期刊
降低乳癌病人癌因性疲憊程度之改善專案
Improvement Project to Reduce Cancer-related Fatigue in Breast Cancer Patients
摘要
乳癌病人屬於癌因性疲憊好發族群，若未能及早預防與改善，容易導致癌症療程被迫延期或中斷，致使疾病惡化，亦會嚴重影響病人生活品質及存活率。本專案旨在降低乳癌病人癌因性疲憊程度。現況乳癌病人癌因性疲憊程度達7.2分。分析原因為缺乏乳癌病人癌因性疲憊照護作業標準及衛教手冊、教材及工具與人員教育訓練。於2021年5月10日至9月30日透過制定乳癌病人癌因性疲憊照護作業標準、規劃人員教育訓練與製作衛教手冊及教材之改善對策。專案實施後，乳癌病人癌因性疲憊程度由7.2分下降至3.1分，護理人員照護認知提升至95%及乳癌病人對於人員照護內容滿意度由1.7分提升至4.3分，達專案目的。本專案結果有效降低乳癌病人癌因性疲憊程度，可平行推行其它癌症病人使用，使病人更有動力及信心繼續未來的治療路程與提升整體癌症照護品質。
並列摘要
Breast cancer patients are a high-risk group for cancer-related fatigue (CRF). If not promptly prevented and addressed, CRF may lead to delays or interruptions in cancer treatment, exacerbating the disease and significantly affecting patients' quality of life and survival rates. This project aims to reduce the level of CRF in breast cancer patients. Currently, the average CRF level among breast cancer patients is 7.2 out of 10. Analysis identified key causes, including a lack of standardized care protocols for CRF in breast cancer patients, as well as insufficient educational materials such as manuals, tools, and training for healthcare personnel. The project implemented improvement strategies from May 10 to September 30, 2021, including developing standardized care protocols for breast cancer patients with CRF, planning staff training, and producing educational manuals and materials for patients. Following the implementation of the project, the CRF level among breast cancer patients decreased from 7.2 to 3.1. Additionally, the awareness and knowledge of care among nursing staff increased to 95%, and patient satisfaction with their care content improved from 1.7 to 4.3 out of 5. The project's objectives were achieved. The results of this project effectively reduced CRF levels in breast cancer patients. This approach can be extended to patients with other types of cancer, empowering them with greater motivation and confidence to continue their treatment journey while enhancing the overall quality of cancer care.