儿科肿瘤患者家长进行家庭静脉治疗的安全性、有效性和可接受性。
Safety, efficacy, and acceptability of home intravenous therapy administered by parents of pediatric oncology patients.
作者信息
Hooker L, Kohler J
机构信息
School of Nursing and Midwifery, University of Southampton, United Kingdom.
出版信息
Med Pediatr Oncol. 1999 Jun;32(6):421-6. doi: 10.1002/(sici)1096-911x(199906)32:6<421::aid-mpo5>3.0.co;2-d.
BACKGROUND
A prospective study of patients receiving intravenous therapy administered at home by parents was conducted over 1 year at a United Kingdom regional pediatric oncology center.
PROCEDURE
The study defined the patient groups for whom this approach was used and evaluated the safety and efficacy of home treatment. Parents' evaluation of home therapy was sought to determine the acceptability of the scheme from their perspective. Eight-nine courses of antibiotics, chemotherapy or antiemetics were given, comprising a total of 469 days of home treatment.
RESULTS
Few clinical problems were encountered. Parents felt that home treatment helped them to cope (72%); they felt more in control (75%) and learned more about their child's illness and treatment (82%).
CONCLUSIONS
Home treatment was perceived as less stressful than hospital treatment (79%), and all reported benefits to family life. There is a need for parents to be taught vigilance in observing for and reporting signs of deterioration.
背景
在英国一家地区性儿科肿瘤中心，对由父母在家中进行静脉治疗的患者进行了为期1年的前瞻性研究。
过程
该研究确定了采用这种方法的患者群体，并评估了家庭治疗的安全性和有效性。征求了父母对家庭治疗的评价，以从他们的角度确定该方案的可接受性。共进行了89个疗程的抗生素、化疗或止吐治疗，总计469天的家庭治疗。
结果
几乎没有遇到临床问题。父母认为家庭治疗有助于他们应对（72%）；他们感觉更能掌控局面（75%），并且对孩子的疾病和治疗了解得更多（82%）。
结论
与住院治疗相比，家庭治疗的压力较小（79%），并且所有报告都表明对家庭生活有益。需要教导父母在观察和报告病情恶化迹象时保持警惕。
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