點滴瓶／袋的新衣

New Clothes for Infusion Bags

謝枝華(Chih-Hwa Hsieh) ； 李婷婷(Ting-Ting Li) ； 龔怡萍(Yi-Ping Kung)

《榮總護理》 25卷3期 (2008/09) Pp. 243-248

https://doi.org/10.6142/VGHN.25.3.243

摘要

本文是描述護理技術創新作品在臨床上的使用成效。根據2006年1-6月某醫學中心兒童癌症病房統計，雖然每位病童皆使用止吐劑，仍有74%病童出現噁心嘔吐症狀，同時發現家屬會利用衣服、帽子或枕頭套遮蓋化學藥物，試圖減輕噁心嘔吐症狀，不僅凌亂，更影響護理人員對化學藥物的觀察，故引發創作動機。運用創意與巧思設計兼具臨床實用價值與護理藝術治療的作品，即「點滴瓶／袋的新衣」，以取代不適當的遮蓋物。經過2006年9月至2007年1月臨床使用後效果顯著：21位受調查的病童中，原本14位(66.7%)病童化學治療時有嘔吐紀錄，使用作品後減為7位(33.3%)，且有14位(66.7%)病童使用作品後進食量增加。本創新作品能技巧性地遮蓋化學藥物顏色及瓶罐、降低病童生理和心理不適反應、增加舒適感與改善預期性嘔吐症狀，進而提升病童的醫療照護品質，值得臨床廣泛推行與應用。

關鍵字

化學治療 ； 噁心 ； 嘔吐 ； 止吐劑

並列摘要

This paper describes the use of an innovative clinical practice now in the works. The Children's Cancer Ward statistics from January to June of 2006 showed that 74% of all children using antiemetic agents suffered from nausea and vomiting. They also showed that patients' family members often used clothing, hats or pillows to cover the infusion bags in order to reduce patients' nausea and vomiting. This discovery of this pratice was the motivation behind a creative new design for infusion bags. Implementing the new design from September 2006 to January 2007 had a significant effect: out of 21 patients, the number of patients who reported vomiting reduced from 14 (66.7%) to 7(33.3%); and 14 patients (66.7%) reported an increased food intake by using it. After covering the bags full of nauseating chemical agents, the new design is expected to reduce vomiting, enhance medical care quality, and is certainly worth implemention and clinical application.

並列關鍵字

chemotherapy ； nausea ； vomiting ； antiemetic agent