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肿瘤护理人员对生存护理计划的认知:教育的必要性。

Oncology nurses' knowledge of survivorship care planning: the need for education.

作者信息

Lester Joanne L, Wessels Andrew L, Jung Yoonsuh

机构信息

Department of Psychology and the Comprehensive Cancer Center, Ohio State University, Columbus, OH.

James Cancer Hospital and Solove Research Institute, Columbus, OH.

出版信息

Oncol Nurs Forum. 2014 Mar 1;41(2):E35-43. doi: 10.1188/14.ONF.E35-E43.

Abstract

PURPOSE/OBJECTIVES: To survey nurses about their knowledge of cancer survivorship care.

DESIGN

Descriptive, cross-sectional.

SETTING

Midwestern comprehensive cancer center.

SAMPLE

223 registered and advanced practice nurses.

METHODS

Online survey of survivorship knowledge using a 50-item questionnaire derived from the Institute of Medicine report and related publications.

MAIN RESEARCH VARIABLES

Concepts of survivorship care and common long-term symptoms.

FINDINGS

Most nurses reported having knowledge about healthy lifestyle habits; more than 50% of nurses reported having knowledge about chemotherapy, surgery, and radiation therapy, as well as side effects of fatigue, depression, limitations of daily activities, and weight gain; less than 50% of nurses reported having knowledge of impact on family, biologic agents, lymphedema, immunizations or vaccinations, and osteoporosis screening; less than 40% of nurses reported having knowledge about marital and partner relationships, osteoporosis prevention and care, sexuality, side effects of bone marrow transplantation, employment issues, and angiogenesis agents; and less than 25% of nurses reported having knowledge on genetic risks, as well as fertility, financial, and insurance issues.

CONCLUSIONS

Oncology nurses at an academic comprehensive cancer center reported gaps in knowledge consistent with previous studies about knowledge of survivorship care.

IMPLICATIONS FOR NURSING

The Institute of Medicine has challenged oncology providers to address cancer survivorship care planning. Gaps in cancer survivorship knowledge are evident and will require focused education for this initiative to be successful.

摘要

目的/目标:就护士对癌症幸存者护理的知识进行调查。

设计

描述性横断面研究。

地点

中西部综合癌症中心。

样本

223名注册护士和高级执业护士。

方法

使用一份由医学研究所报告及相关出版物衍生而来的包含50个条目的问卷,对幸存者护理知识进行在线调查。

主要研究变量

幸存者护理的概念及常见的长期症状。

研究结果

大多数护士表示了解健康的生活习惯;超过50%的护士表示了解化疗、手术和放疗,以及疲劳、抑郁、日常活动受限和体重增加等副作用;不到50%的护士表示了解对家庭的影响、生物制剂、淋巴水肿、免疫接种或疫苗接种以及骨质疏松症筛查;不到40%的护士表示了解婚姻和伴侣关系、骨质疏松症预防与护理、性健康、骨髓移植的副作用、就业问题以及血管生成剂;不到25%的护士表示了解遗传风险以及生育、财务和保险问题。

结论

一家学术性综合癌症中心的肿瘤护理人员报告称,其知识存在差距,这与先前关于幸存者护理知识的研究一致。

对护理工作的启示

医学研究所已向肿瘤护理人员提出挑战,要求其开展癌症幸存者护理规划。癌症幸存者护理知识方面的差距很明显,要使这项举措取得成功,需要进行有针对性的教育。

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