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題名:提昇化學治療病人對護理指導遵從率之改善方案
書刊名:榮總護理
作者:張碧華尹惠珊蔡寶純張家莉邱春幸
作者(外文):Chang, Pi-huaYin, Hui-shanTasy, Bao-chuemChang, Chia-liChiu, Chun-hsing
出版日期:2009
卷期:26:4
頁次:頁418-426
主題關鍵詞:化學治療護理指導遵從率ChemotherapyPatient educationCompliance
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(1) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:1
  • 共同引用共同引用:1
  • 點閱點閱:4
化學治療是所有癌症人口中接受治療方式比率最高的一種,若藥物副作用處理不當,將危及生命。本病房經現況分析,發現缺乏客製化衛教指導系統及監測作業務,以致化學治療病人對護理指導遵從率低,故本專案目的為提昇血液腫瘤病房化學治療病人對護理指導遵從率,設定兩項改善目標:化學藥物副作用認知率及化學治療居家照顧執行率。經設計、專家審視、建置及測試客製化衛教系統,透過在職教育及目標值監測,化學治療病人對衛教指導遵從率在化學藥物副作用認知率已達86.8%,但化學治療居家照顧執行率僅79.1%,仍有持續改善空間。藉由本專案的實施,滿足護理人員的工作需要,亦強調「以病人為中心」之服務品質。
The aims of this program are to establish a Web-based electronic education system linking the Computerized Physician Order Entry system (CPOE) and to improve the compliance rate of chemotherapy education for cancer patients in hematological wards. For cancer patients chemotherapy is the primary treatment for improving health and delaying the disease's progression. Of course if not properly managed chemotherapy may threaten a cancer patient's life. After analyzing the reasons for low compliance rates, we set two indicators in this program: first, family with anti neoplastic drug side-effects and second the implementation rate of self-care at home. The thresholds were both set at 80%. From Jun. 2007 to Oct. 2007, we designed, revised, established and tested a knowledge-based patient-oriented chemotherapy education system. Then we instructed nurses how to use this system. We monitored two indicators every month from Nov. 2007 to Mar. 2008. The results showed patients' knowledge level reached 86.8%, while the implementation rate of self-care was only 79.1%. In conclusion, we hope to continue improving patients' implementation rate of self-care at home and also to share our patient-centered professional nursing experience with all other nurses.
期刊論文
1.王淑梅、林宛蓉、郭碧淇(20051200)。提升化學治療病患之護理指導專案。腫瘤護理雜誌,5(2),63-75。  延伸查詢new window
2.O'Nell, E. S.、Dluhy, N. M.、Hansen, A. S.、Ryan, J. S.(2006)。Coupling the N-CODES system with actual nurse decision-making。Computers, Informatics, Nursing,24(1),28-34。  new window
3.Schulmeister, L.(2005)。Ten simple strategies to prevent chemotherapy errors。Clinical Journal of Oncology Nursing,9(2),201-205。  new window
4.Sheridan-Leos, N.(2007)。A model of chemotherapy education for novice oncology nurses that supports a culture of safety。Clinical Journal of Oncology Nursing,11(4),545-551。  new window
5.Zuk, S. M.、Quinn, L. K.(2002)。Cancer education: using the evidence。Seminars in Oncology Nursing,18(1),60-65。  new window
6.陳淑芬、蔡麗雲、莊淑雅(20040600)。腫瘤病房護理人員執行化學治療護理指導品質之改善方案。腫瘤護理雜誌,3(2),39-57。  延伸查詢new window
7.黃采薇、劉波兒、袁光霞、張正雄、賴俊宏(20021100)。癌症病患持續化學治療之相關因素探討。弘光學報,40,7-16。new window  延伸查詢new window
8.Carey, M.、Schofield, P.、Jefford, M.、Krishnasamy, M.、Aranda, S.(2007)。The development of audio-visual materials to prepare patients for medical procedures: an oncology application。European Journal of Cancer Care,16(5),417-423。  new window
9.Claxton, A. J.、Cramer, J.、Pierce, C.(2001)。A systematic review of the associations between dose regimens and medication compliance。Clinical Therapeutics,23(8),1296-1310。  new window
10.Hartigan, K.(2003)。Patient education: the cornerstone of successful oral chemotherapy treatment。Clinical Journal of Oncology Nursing,7(6),21-24。  new window
11.Keller, J. S.(2006)。Implementation of a prechemotherapy educational intervention for women newly diagnosed with breast cancer。Clinical Journal of Oncology Nursing,10(1),57-60。  new window
12.Mueller, P. S.、Glennon, C. A.(2007)。A nurse-developed prechemotherapy education checklist。Clinical Journal of Oncology Nursing,11(5),715-719。  new window
圖書
1.Oncology Nursing Society(2001)。Chemotherapy and biotherapy: guidelines and recommendations for practice。Pittsburgh, Pennsylvania:Oncology Nursing Society。  new window
2.趙子傑、黃秀英、陳秋慧、陳瑞儀、胡文郁、鄭春秋(2002)。癌症護理學。臺北:華杏。  延伸查詢new window
其他
1.行政院衛生署(20070101)。癌症登記年報:臺灣地區癌症申報發生人數按原發部位及治療方式分類,http://crs.cph.ntu.edu.tw/crs_c/annual.html。  延伸查詢new window
 
 
 
 
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