Reville B, Almadrones L
Oncol Nurs Forum. 1989 Jul-Aug;16(4):529-35.
Continuous infusion therapy (CIT) is an alternative to traditional intravenous bolus or brief infusion chemotherapy. The benefits of CIT are improved therapeutic index, reduced toxicity, and modification of drug resistance. CIT administered in the ambulatory setting fosters cost effectiveness and improved patient satisfaction. Nurses use their clinical skill and judgement to assess potential CIT patients prior to treatment for self-care ability and to prepare them for treatment. Topics to include in patient education are care of the vascular access device, introduction to CIT, toxicities and side effects of medication, pump operation, procedures for daily infusion monitoring, discontinuation of the infusion at home, and plans for follow-up. This article is a guide for the oncology nurse performing a pre-treatment assessment of an infusion candidate and planning patient education sessions.
持续输注疗法（CIT）是传统静脉推注或短期输注化疗的替代方法。CIT的益处包括提高治疗指数、降低毒性以及改变耐药性。在门诊环境中进行CIT可提高成本效益并提升患者满意度。护士运用其临床技能和判断力，在治疗前评估潜在的CIT患者的自我护理能力，并为其做好治疗准备。患者教育应涵盖的主题包括血管通路装置的护理、CIT介绍、药物毒性和副作用、泵的操作、每日输注监测程序、在家中停止输注以及后续随访计划。本文是肿瘤护理人员对输注候选患者进行治疗前评估及规划患者教育课程的指南。
