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題名 | 起皰性化療藥物外滲之護理=Management of Vesicant Chemotherapy Extravasations |
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作者 | 孫怡; 吳維紋; Sun, Yi; Wu, Wei-wen; |
期刊 | 榮總護理 |
出版日期 | 20160300 |
卷期 | 33:1 2016.03[民105.03] |
頁次 | 頁93-99 |
分類號 | 419.77 |
語文 | chi |
關鍵詞 | 起皰性化療藥; 化療藥物外滲; 護理; Vesicant chemotherapy; Chemotherapy extravasation; Nursing care; |
中文摘要 | 起皰性化療藥品外滲時,會造成皮膚、肌肉及組織嚴重的壞死,對病患會造成很大的傷害,護理人員在照護接受針劑型化學治療的病患時,首當應預防藥物外滲的發生,根據國內研究顯示,藥物外滲的主因包括一、護理人員未確實的給予相關指導及如實巡視;二、病患對管路維護的安全性不了解;三、管路未正確放置。故在注射前,應提供家屬及病患完整的衛教訊息,護理人員本身也應了解如何預防外滲的發生及判斷疑似外滲的徵象,當不幸發生外滲事件時,應立即給予正確的處理方式,才能使個案的傷害降到最低。 |
英文摘要 | Vesicant chemotherapy extravasations can cause the serious necrosis of skin, muscle, and tissue, resulting in excessive physical damage. Thus, preventing these extravasations is one of the fi rst priorities of patient care during chemotherapy. Prior research has indicated that the main causes of drug extravasation include the following: (1) nurses do not inform patients of the risk of extravasation or inspect skin integrity, (2) patients have insufficient knowledge of the safety of intravenous injection, and (3) nurses do not place the intravenous devices properly. Thus, nurses should provide patients and their families with appropriate information on the safety of intravenous care before administering chemotherapy. Nurses should be aware of the methods of preventing extravasations and detecting the early signs of vesicant chemotherapy extravasations. If extravasations occur nonetheless, then initiating the required procedures is crucial to minimizing the damage. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。