Na Zeng, Qiaoyuan Yan, Binghan Wang, Qin Zhu, Yue Chen, Xin Peng, Cuilian Tan, Cheng Yao
College of Medical Science, China Three Gorges University, Yichang 443000, Hubei, China.
Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, Hubei, China.
Oncotarget. 2017 Sep 18;8(50):87598-87606. doi: 10.18632/oncotarget.20986. eCollection 2017 Oct 20.
How to reduce intravenous chemotherapy-related adverse reactions of cancer patients is one focus of clinical work. Nowadays, patient for patient safety (PFPS) is an important component of hospital safety management and can contribute to a reduction in the rate of adverse events following intravenous chemotherapy of cancer patients. To guide and evaluate cancer patients participate in intravenous chemotherapy, we explored a scientific and practical model of cancer patients participation in intravenous chemotherapy safety. which can also guide nurse practitioners (NPs) practice. Based on a literature review and analysis of chemotherapy-associated adverse events from two large comprehensive hospitals, combined with the existing strategies for PFPS, the model of cancer patients participation in intravenous chemotherapy safety was drafted. Then we conducted two rounds of the Delphi-method questionnaire to revise the model. The two rounds Delphi questionnaire survey had a response rate of 82.36%. The authoritative coefficient was 0.87 and the coordination coefficients were 0.165 and 0.214, respectively. The proposed safety model included 3 first-order indicators, 8 second-order indicators, and 41 third-order indicators, including content of patients participation, responsibilities of medical personnel to assist cancer patients participation, and suggestions for guaranteeing implementation. Many NPs practice in a medical setting where cancer patients for patient safety behavior are blurred. The model of cancer patients participation in intravenous chemotherapy safety can guide NPs in their practice of promoting PFPS among cancer patients intravenous chemotherapy.
如何降低癌症患者静脉化疗相关不良反应是临床工作的一个重点。如今,患者安全参与(PFPS)是医院安全管理的重要组成部分,有助于降低癌症患者静脉化疗后的不良事件发生率。为了指导和评估癌症患者参与静脉化疗,我们探索了一种科学实用的癌症患者参与静脉化疗安全模式,该模式也可指导执业护士(NPs)的实践。基于对两家大型综合医院化疗相关不良事件的文献综述和分析,结合现有的PFPS策略,起草了癌症患者参与静脉化疗安全模式。然后我们进行了两轮德尔菲法问卷调查以修订该模式。两轮德尔菲问卷调查的回复率为82.36%。权威系数为0.87,协调系数分别为0.165和0.214。提出的安全模式包括3个一级指标、8个二级指标和41个三级指标,包括患者参与内容、医务人员协助癌症患者参与的职责以及保障实施的建议。许多NPs在癌症患者安全行为模糊的医疗环境中执业。癌症患者参与静脉化疗安全模式可指导NPs在癌症患者静脉化疗中促进PFPS的实践。