化學治療病患接受護理指導之改善方案

Improving Nurse Monitoring for Cancer Patients Receiving Chemotherapy

邱燕甘(Yan-Gen Chiou) ； 許玲女(Ling-Nu Hsu) ； 郭美玲(Mei-Line Kuo)

《長庚護理》 13卷4期 (2002/12) Pp. 359-368

https://doi.org/10.6386/CGN.200212_13(4).0009

摘要

The purposes of this project were to develop and implement standards of care that guide nurses when caring for cancer patients getting chemotherapy and to improve patients' understanding about side effects and complications of chemotherapy. According to available data, the reasons for lack of appropriate education and assessment of chemotherapy patients by nurses may due to lack of assessment tools, lack of patient education materials, lack of educational materials that give complete information about side effects, and low patient satisfaction (46%). In addition, lack of standards, lack of clear procedures, and lack of continuous monitoring were found. Only 30.1% of patients received appropriate monitoring by nurses and most of the patients were not assessed for their understanding of chemotherapy and its effects. These findings led to a project aimed at making two improvements. First, nursing care standards for cancer patients receiving chemotherapy were developed. Based on these standards, assessment tools, side effects education cards, and nursing procedures were developed. Individualizing patient care was emphasized as was continual assessment of patients' understanding. Finally, patients' understanding and satisfaction were surveyed to serve as feedback for further improvement of standards and procedures. Second, arranging continuing education for nurses was implemented to increase nurses' knowledge of chemotherapy. After implementing the programs, nursing assessment and monitoring increased from 54% to 96%. The average patient satisfaction increased significantly (p＜.01) to 88%; the satisfaction score was 4.07 on a 5-point scale. In summary, the quality of nursing care improved by establishing nursing standards and procedures and requiring continuing education for nurses. This project effectively improved nurse monitoring of cancer patients receiving chemotherapy.

關鍵字

化學治療 ； 護理指導

並列摘要

The purposes of this project were to develop and implement standards of care that guide nurses when caring for cancer patients getting chemotherapy and to improve patients' understanding about side effects and complications of chemotherapy. According to available data, the reasons for lack of appropriate education and assessment of chemotherapy patients by nurses may due to lack of assessment tools, lack of patient education materials, lack of educational materials that give complete information about side effects, and low patient satisfaction (46%). In addition, lack of standards, lack of clear procedures, and lack of continuous monitoring were found. Only 30.1% of patients received appropriate monitoring by nurses and most of the patients were not assessed for their understanding of chemotherapy and its effects. These findings led to a project aimed at making two improvements. First, nursing care standards for cancer patients receiving chemotherapy were developed. Based on these standards, assessment tools, side effects education cards, and nursing procedures were developed. Individualizing patient care was emphasized as was continual assessment of patients' understanding. Finally, patients' understanding and satisfaction were surveyed to serve as feedback for further improvement of standards and procedures. Second, arranging continuing education for nurses was implemented to increase nurses' knowledge of chemotherapy. After implementing the programs, nursing assessment and monitoring increased from 54% to 96%. The average patient satisfaction increased significantly (p＜.01) to 88%; the satisfaction score was 4.07 on a 5-point scale. In summary, the quality of nursing care improved by establishing nursing standards and procedures and requiring continuing education for nurses. This project effectively improved nurse monitoring of cancer patients receiving chemotherapy.

並列關鍵字

chemotherapy ； nursing guidance