肿瘤化疗病人健康教育需求调查分析

目的 :确定对肿瘤化疗病人进行健康教育的内容和方式。方法 :对 80例肿瘤化疗住院病人进行自设问卷调查 ,问卷包括 7个主题 ,共 6 2项。按Likert 4点评价法进行打分 ,然后进行统计处理。结果 :肿瘤化疗病人健康教育需求程度排序为 :①入院时对健康教育知识内容的需求 ;②出院前对疾病相关知识的需求 ;③化疗期间需要医务人员给予的指导 ;④健康教育效果评价 ;⑤接受健康教育的方式 ;⑥接受化疗知识健康教育的最佳时间 ;⑦出院后所需的咨询方式。结论 :这 7个主题较全面地反映了肿瘤化疗住院病人的健康教育需求。其中入院时、化疗期间、出院前的健康教育知识内容非常重要 ,而对于健康教育效果评价、健康教育的方式、最佳健康教育时间及出院后的咨询方式则应因人而异 ,护理人员应有针对性、有计划性地对病人实施健康教育     

化疗期间患者对健康教育的需求情况及调查

目的：了解化疗期间患者对健康教育的需求情况。方法：采用描述性研究方法,对化疗患者进行调查。结果：化疗患者的心理需求程度最高,其中对化疗前相关信息的需求程度最集中,床旁个体指导是患者最易接受的教育方式。结论：在开展健康教育时,要针对不同层次的患者对健康教育知识需求的不同特点,有针对性的进行宣教。     

化疗期间患者对健康教育的需求情况及调查

目的: 了解化疗期间患者对健康教育的需求情况.方法:采用描述性研究方法,对化疗患者进行调查.结果:化疗患者的心理需求程度最高,其中对化疗前相关信息的需求程度最集中,床旁个体指导是患者最易接受的教育方式.结论:在开展健康教育时,要针对不同层次的患者对健康教育知识需求的不同特点,有针对性的进行宣教.     

肿瘤患者家属的门诊化疗相关知识需求调查及分析

[摘要]目的 对肿瘤患者家属的化疗相关知识的需求情况进行调查分析 方法 对2011年11月至2012年3月在我院门诊化疗中心进行化疗的100名患者家属采用自制问卷进行化疗相关知识了解情况的调查 结果 肿瘤患者家属大部分对化疗相关知识掌握不够。认知程度处于中低水平,患者主要通过医护人员获得相关知识 结论 肿瘤患者家属化疗相关知识有待提高,需要护理人员进一步加强健康宣教,提高患者化疗后的家庭护理水平。     

护士对静脉化疗相关知识掌握程度的现状调查

目的通过调查了解临床护士对静脉化疗相关知识的掌握程度。方法选择2014年4月1—30日在同济大学附属上海市肺科医院肿瘤科就职的临床护士108名,在静脉输液风险环节及内容的基础上,自行设计调查问卷,内容包括静脉化疗的相关知识与掌握情况,并对影响因素进行回归分析。结果护士对静脉化疗相关知识掌握情况良好;不同护龄、学历护士得分比较,差异有统计学意义(P均<0.05);不同年龄、职称得分比较,差异无统计学意义(P均>0.05)。结论临床护士对静脉化疗相关知识的掌握程度有待提高,特别是低护龄和学历偏低的护士,需要加强静脉化疗相关知识培训,以确保静脉化疗的安全。     

60例肿瘤外照射患者健康宣教成效分析

目的 调查肿瘤外照射患者健康知识掌握情况,分析健康宣教成效,为临床实践提供依据.方法 采用自行设计的调查问卷对首次接受外照射的肿瘤患者就相关健康知识的掌握情况进行调查,比较分析患者入院及出院时知识掌握情况.结果 患者出入院时对"外照射计划及设计步骤"的相关知识的掌握率均较低,且差异无统计学意义(p＞0.05);不同照射野患者出院时对相关知识的掌握情况不同,差异有统计学意义(p＜0.05);患者出院时对相关健康知识掌握情况和文化程度之间呈正相关(r=0.423,p＜0.05).结论 本科开展整体责任制护理以来,以患者为中心的健康教育方式取得良好的效果,应加强"外照射计划和步骤"的相关知识的宣教,重视文化程度低患者的健康宣教,针对不同情况的患者进行有的放矢的教育和指导.     

化疗患者静脉治疗护理个案查房的组织与体会

目的:探讨如何组织化疗患者静脉治疗护理个案查房及体会。方法:针对胃癌根治术后化疗患者所用药物的特殊性、工具选择的高标准性以及患者的抑郁心理状况进行护理个案查房。结果:护理人员通过专科护士的讲解对化疗相关知识及注意事项有了进一步的了解,患者对化疗中出现不适及自我调节也有了新的认识。结论:静脉治疗护理个案查房重视了患者的健康教育,提高了护理人员静脉治疗专业技能,有利于护理质量和患者满意度的提高。     

持续化疗(化疗泵)使用现状调查分析

【】 目的 调查患者对持续化疗(化疗泵)的认知度及使用现状。方法 对100例使用持续化疗治疗肿瘤的患者采用自制的调查问卷进行持续静脉输注化疗给药现状调查,并对调查结果进行分析。结果 25%调查对象对化疗泵的相关知识达到基本了解及以上的程度,46%调查对象对其相关知识只达到了解一点的程度,另外29%调查对象不了解化疗泵的相关知识。55%调查对象希望通过口头告知的形式获取持续化疗(化疗泵)相关知识,42%调查对象希望通过多种渠道获得相关知识。结论 加强和提高肿瘤患者对化疗泵的认知度是有必要的,可提高使用化疗泵患者的治疗效果。     

乳腺癌化疗病人静脉通路健康教育需求调查分析

[目的]调查乳腺癌化疗病人对静脉通路相关知识的掌握情况以及健康教育需求情况,为临床护士进行有效的健康教育提供理论依据。[方法]采用自行设计的问卷,内容包括病人一般资料、临床资料、病人对化疗静脉通路相关知识的掌握情况以及健康教育需求情况4个方面,对270例乳腺癌化疗病人进行问卷调查,以描述性统计法进行分析。[结果]乳腺癌化疗病人静脉通路健康教育需求排在前3位的是:各类静脉通路置管时会有哪些不适和风险(95.6%);各类置管后如何规避风险和不适(95.5%);各类置管后出现哪些异常情况应告知医护人员或就医(92.2%);各类置管后的自我观察、护理及功能锻炼(92.2%)。[结论]肿瘤专科护理人员应了解乳腺癌化疗病人静脉通路相关知识需求,实施具有针对性的健康教育,调动病人的主观能动性,建立共同参与的护患关系模式。     

护士对静脉化疗安全知识的掌握程度现况调查

目的 通过现况调查描述护士对静脉化疗安全知识的掌握程度。 方法 采用自行设计的调查问卷对155名临床护士进行静脉化疗安全知识的掌握情况调查,并对相关影响因素进行回归分析。结果 肿瘤科护士对静脉化疗安全的掌握程度普遍高于非肿瘤科护士(P＜0.05);不同学历护士得分差异有显著意义(P＜0.05);不同年龄、护龄、职称护士得分差异不显著(P＞0.05)。结论 护士对静脉化疗安全知识的掌握程度有待提高,特别是非肿瘤科和学历偏低的护士,需要加强静脉化疗安全知识培训,以确保静脉化疗安全。     

Depression and hopelessness in Turkish patients with cancer undergoing chemotherapy

Aim: This study aimed to determine the levels of depression and hopelessness of patients receiving chemotherapy. Through knowledge of the levels of hopelessness and depression in such patients, this study could contribute to the planning of nursing interventions. Methods: The study involved 101 patients with cancer who presented to the outpatient unit of a medical oncology clinic to receive outpatient chemotherapy between January and March 2006. Data on the patients' sociodemographic features, as well as their scores on the Beck Hopelessness Scale and the Beck Depression Inventory, were obtained. Results: The patients' mean total depression score was 16.0 ± 8.3 and their mean hopelessness score was 6.9 ± 3.4. There was a statistically significant positive relationship between depression and hopelessness. Conclusion: The results indicated that depression and hopelessness were strongly and positively correlated.     

A review of the role of emergency nurses in management of chemotherapy‐related complications

Aims and objectives. To examine the role of emergency nurses in caring for patients who receive chemotherapy in ambulatory oncology settings. Reasons for emergency department presentations are examined, specific sources of clinical risk for patients receiving chemotherapy who require emergency care are discussed and cost implications of emergency department presentations related to chemotherapy are analysed. Background. Given the increased administration of chemotherapy in ambulatory settings, emergency nurses play an important role in the management of patients undergoing adjuvant chemotherapy. Emergency departments are the major entry point for acute inpatient hospital care of complications arising from chemotherapy. Design. Systematic review. Results. Chemotherapy‐related emergency department presentations have considerable clinical and cost implications for patients and the healthcare system. Strategies to improve emergency department management of chemotherapy complications and reduction in preventable emergency department presentations has significant implications for improving cancer patients’ quality of life and reducing the cost of cancer care. Conclusions. Nurses are well placed to play a pivotal role in chemotherapy management and lead interventions such as a specialist oncology nursing roles that provide information and support to guide patients through their chemotherapy cycles. These interventions may prevent emergency department presentations for patients receiving chemotherapy in ambulatory settings. Relevance to clinical practice. Patients receiving chemotherapy require access to specialised care to manage distressing symptoms, as they are at significant clinical risk because of immunosuppression and may not exhibit the usual signs of critical illness. A team approach both within and across nursing specialities may improve care for patients receiving chemotherapy and increase effective use of healthcare resources.     

Administering chemotherapy in nononcology settings: a case study

Providing chemotherapy for patients in a variety of settings may be a challenge for oncology nurses. Increased acuity and comorbidities of patients needing chemotherapy have resulted in a greater incidence of administration in nononcology settings, such as intensive care units (ICUs). In addition, patients with conditions other than cancer are receiving chemotherapy. Because of a lack of certified and experienced chemotherapy nurses in the ICU, oncology nurses may be pulled from their unit to administer chemotherapy. Another possibility is that nonchemotherapy-certified nurses may be asked to administer chemotherapy. Caring for patients receiving chemotherapy may be stressful for nononcology nurses because of their lack of knowledge regarding chemotherapy precautions and the management of side effects and toxicities. Not only is coordination and cooperation between nursing personnel vital, certified oncology nurses must be able to assess the situation, provide the necessary information and education, and safely administer the chemotherapy. This article describes a case study and provides suggestions for planning in similar situations.     

首次住院肿瘤患者化疗知识需求的调查分析

目的调查首次住院肿瘤患者对化疗知识需求情况。方法自行设计首次住院肿瘤患者化疗知识需求调查问卷,对首次住院化疗的200例患者进行需求调查。结果患者对化疗方案的认知、化疗的治疗效果及化疗的费用方面的强烈需求达96.00%,对化疗胃肠道反应的强烈需求达92.00%,对脱发的强烈需求达84.00%,对静脉炎的强烈需求仅为24.00%。结论在临床工作中对首次住院肿瘤患者化疗知识需求进行调查分析,后续工作中可针对调查结果给予加强护理,以期促进患者顺利完成化疗周期,提高生活质量,早日康复。     

创建阳光俱乐部对肿瘤化疗患者社会支持及依从性的影响

目的研究创建“阳光俱乐部”对肿瘤化疗患者社会支持及依从性的影响。方法选择2006年1—9月符合条件54例患者为对照组,2006年10月—2007年10月符合条件60例患者为观察组,对照组接受肿瘤内科常规护理,观察组在常规护理的同时参加“阳光俱乐部”的各项活动。采用社会支持评定量表、自行制定的依从性问卷,在化疗周期结束时分别评估和比较两组患者在社会支持和依从性方面的差异。结果观察组的社会支持3项得分和依从性评分明显高于对照组,差异有统计学意义（P〈0.001）。结论＂阳光俱乐部＂创建可提高肿瘤化疗患者的社会支持和依从性。     

基于营养日记的自我管理模式在结直肠癌术后辅助化疗患者中的应用效果观察

目的：探讨基于营养日记的自我管理模式在结直肠癌术后辅助化疗患者中的应用效果。方法：采取方便抽样的方法,选取2019年10月至2020年5月消化肿瘤内科住院的初次接受术后辅助化疗的结直肠肿瘤患者60例为研究对象,按入院先后顺序分为干预组31例,对照组29例。对照组接受消化肿瘤内科护理常规;干预组在常规护理的基础上应用营养日记干预,干预2个治疗周期后,对两组患者干预前后营养状况及自我管理能力进行评价。结果：干预2周期后,在营养状况方面,两组PG-SGA评分、BMI及各项营养指标比较差异无统计学意义（P>0.05）。在自我管理能力方面,干预组自我管理总分及日常生活管理、症状管理、医护人员沟通3个维度得分高于对照组,差异具有统计学意义（P<0.05）。结论：应用营养日记能有效提高结直肠癌术后辅助化疗患者自我管理能力水平,但对营养状况的改善效果仍有待进一步研究。     

Role of the nurse in patient education and follow-up of people receiving oral chemotherapy treatment: an International survey

PURPOSE: The aim of this study was to explore the nursing role in education and follow-up of patients who were taking oral chemotherapy (CT) and to identify the worldwide gap in patient education about oral CT. MATERIALS AND METHODS: Multinational Association of Supportive Care in Cancer members were invited to participate in a survey on oral CT. Nurse coordinators collected data via a 16-item questionnaire. Respondents totaled 1115 oncology nurses from 15 countries. RESULTS: Findings showed that about half of subjects work in outpatient/ambulatory clinics and had given at least two or more oral CT drugs. Although 52% had some type of guidelines/protocols, 47% reported not having received any education about oral CT drugs. While 64% report being involved in patient education, 58% of subjects indicated lack of patient education materials that are specific for oral CT agents. Only 27% stated that they gave all necessary information such as when and how to take the drugs, drug safety and storage, side effects, and symptom management. Reasons for not being involved in oral CT education and follow-up included beliefs that the physician plans the oral CT and gives patients necessary instructions (34%), that nurses only see patients who receive intravenous chemotherapy (16%), that nurses have lack of knowledge about oral agents (15%), and belief that physicians are responsible for patient follow-up. The nurses suggested better education and follow-up of patients to include the written patient education materials (33%) and professional education for nurses (30%). CONCLUSIONS: Findings revealed the need for professional education for nurses to ensure comprehensive, consistent patient education and development of written materials for patients receiving oral CT treatment.     

恶性肿瘤患者浅静脉化疗时自我护理情况调查

目的 了解恶性肿瘤患者浅静脉化疗时自我护理状况。方法 采用自行设计的调查表，对100例恶性肿瘤患者浅静脉化疗时自我护理情况进行调查，包括治疗和护理的依从情况、对化疗药物知识了解情况、静脉血管的保护情况3方面。结果 恶性肿瘤患者化疗时依从性较好，对化疗药物知识了解较少，保护静脉血管知识掌握较差。结论 护士应加强患者化疗知识的健康教育，指导患者提高自我护理的能力。     

An evaluation of the quality of a chemotherapy administration service established by nurses in an oncology day care centre

Traditionally, chemotherapy administration has been a medical role in Hong Kong. In 1998, two chemotherapy nurses took over part of this role within a major oncology day care centre after completing a course in chemotherapy administration and patient care. The aim of this study was to measure and evaluate the quality of care by using a self-developed audit form and the Worthing Chemotherapy Satisfaction Questionnaire (WSCQ). All records of patients who had had i.v. cannulas inserted by nurses over a period of one year were audited for the accuracy of the i.v. cannulation (n=2217). Also, patient satisfaction was assessed in 50 patients. The results showed that the accuracy of i.v. cannulation was kept constantly above 80% from the eighth month of auditing onwards. It was also found that patients preferred the use of a butterfly needle for the administration of chemotherapy. The study revealed that the level of information received regarding treatment (r=0.36, P=0.011) and satisfaction of practical advice on caring for side effects (r=0.35, P=0.012) were determinants of patients' overall satisfaction. Furthermore, anxiety when patients received chemotherapy could also be associated with overall satisfaction (r=-0.27), although the P value was of borderline significance only (P=0.58). In conclusion, the study reflected a high level of quality of care in relation to this element of nurse-led practice.     

化疗护理监测日志应用于日间化疗患者的效果分析

【】 目的：探讨化疗护理监测日志在日间化疗患者中的应用效果。方法：选取2016年1月—2016年6月收治的120例恶性肿瘤化疗患者,随机分为观察组和对照组,每组60例。对照组给予常规的医疗护理,观察组给予发放化疗护理监测日志,建立个体化的化疗护理档案,在接受常规医疗护理的基础上,连续性的观察并记录患者整个化疗疗程的病情变化。比较两组患者对日间化疗满意度、化疗依从性、疾病相关认知程度、导管相关不良反应发生率及化疗不良反应严重程度的情况。 结果：观察组对日间化疗满意度、化疗依从性及疾病相关认知程度均高于对照组(P <0. 05);观察组导管相关不良反应发生率低于对照组(P<0.05);但观察组化疗不良反应严重程度与对照组无差别(P>0.1)。结论：化疗护理监测日志有助于提高日间化疗患者在整个化疗周期中的疾病相关认知程度及依从性;降低导管相关不良反应发生率;但对降低化疗不良反应的严重程度无明显效果