提升化學治療病患之護理指導專案

Promotion of Nursing Care Teaching for Patients Undergoing Chemotherapy

王淑梅(Shu-Mei Wang) ； 林宛蓉(Wan-Jung Lin) ； 郭碧淇(Bi-Chi Kuo) ； Chun-I Fan

《腫瘤護理雜誌》 5卷2期 (2005/12) Pp. 63-75

https://doi.org/10.6880/TJON.200512_5(2).06

摘要

本專案旨在提升護理人員對化學治療病患之指導，進而增加病患對化學治療的正確認識並因應其副作用。臨床發現有89%的病患接受化學治療後不知如何因應副作用及不適反應，經專案小組深入調查，發現有80%的病患未接受或不滿意化學治療的護理指導，分析後問題為：1.缺乏在職教育2.缺乏評估工具3.缺乏完整衛教單張4.缺乏指導指引及標準。專案小組討論後解決方法為：1.舉辦化學治療相關課程2.建立『化學藥物注射個案資料表』作為評估工具3.發展『化學治療期間之自我照顧』完整衛教手冊4.制定護理指導之指引及標準。經改善措施實施後，護理指導之執行率由50%提高為95%，而病患對護理指導之滿意度亦由20%提高為90%，皆達到本專案之目標。

關鍵字

化學治療 ； 護理指導

並列摘要

The purpose of this project is to promote the education of chemotherapy patients by nurses to provide a better understanding of chemotherapy and how to cope with the side effects. Clinical experiments found that 89% of the patients do not understand how to cope with the side effects or negative reaction even after accepting chemotherapy. Further investigations by the project team show that 80% of the patients have either not had or are not satisfied with the education of chemotherapy by the nurses. The problems identified through analysis are as follows: 1. lack of on-the-job-education, 2. lack of assessment tools, 3. lack of a complete bedside pamphlet, and 4. lack of educational guidelines and standards. The solutions found are: 1. have classes on chemotherapy, 2. create ”case date base of chemo-medication injection” as assessment tool, 3. create the ”self-care during chemotherapy period” pamphlet, and 4. establish teaching guidelines and standards for the nurses. After the implementation of the solution, the efficiency of nursing teaching raised 5o% to 95%, and the satisfaction of patients with nursing teaching also raised from 20% to 90%-both reach the goal of this project.

並列關鍵字

Chemotherapy ； Nursing Care Teaching