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題 名 | 接受放射線治療病人皮膚臨床照護指引=Clinical Guidelines of Radiation Skin Reactions |
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作 者 | 李雅惠; 梁穎; 楊易宏; 簡于芬; 翁新惠; | 書刊名 | 榮總護理 |
卷 期 | 29:4 2012.12[民101.12] |
頁 次 | 頁395-404 |
分類號 | 419.77 |
關鍵詞 | 放射線治療皮膚反應; 皮膚照護; 臨床照護指引; Radiation dermatitis; Skin reaction; Skin care; Clinical guidelines; |
語 文 | 中文(Chinese) |
中文摘要 | 放射治療引起之急性皮膚反應是癌症病人常見的症狀困擾,目前國內各醫院雖有護理指導常規,但尚無具實證基礎的臨床照護指引。本研究之目的乃藉由實證模式,建立癌症病人接受放射線治療皮膚照護指引。研究第一階段進行系統性文獻查證,於9個資料庫、6個網站,搜尋2000~2010年的文章,經評析後共納入5篇系統性回顧及3篇指引類型文獻,建立臨床照護指引草案。第二階段進行2次焦點團體座談,邀請20位具放射線治療照護經驗專家,藉由其專業觀點,修正及討論指引草案。第三階段以問卷調查213位臨床醫護人員及20位專家臨床照護指引之可行性。最後確認31項指引,包含:評估4項、預防皮膚反應照護策略18項、及處置性照護策略9項。研究結果建議,藉由臨床照護指引增強護理人員實證照護概念及臨床應用能力,能於實務中運用多種預防及處置策略,提供病人更有效益之照護品質。 |
英文摘要 | The study aimed at establishing evidence-based clinical practice guidelines to prevent and manage radiation-induced skin reactions among adult cancer patients. Method: This study was completed through three stages: (1)A systematic review of the literature was conducted on studies published between 2000 and 2010; (2)Twenty Taiwan regional cancer care experts were invited to attend the focus group meeting to verify the protocol; and (3)A questionnaire was used for the feasible investigation of 213 clinical medical care personnel in Taiwan. Result: Based on the results of the feasible questionnaire, we deleted the items with agreement lower than 70% and finally obtained 31 items. These items were divided into three dimensions: (1)Assessment 4 items; (2)Prophylactic management of acute skin reaction 18 items; (3)Management of acute skin reaction 9 items. Conclusion: The establishment of the guidelines may strengthen the concept and clinical practice ability of the nursing staff, provide quality care for cancer patients and reduce the discomfort of radiation-induced skin reactions. |
本系統中英文摘要資訊取自各篇刊載內容。