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提高护士安全处理抗肿瘤药物的绩效:一项准实验研究。

Improving nurses' performance in the safe handling of antineoplastic agents: a quasi-experimental study.

作者信息

Nouri A, Seyed Javadi M, Iranijam E, Aghamohammadi M

机构信息

Department of Nursing, School of Nursing and Midwifery, Ardabil University of Medical Sciences, Ardabil, Iran.

Department of Nursing, Moghan School of Nursing and Midwifery, Ardabil University of Medical Sciences, Moghan, Iran.

出版信息

BMC Nurs. 2021 Dec 9;20(1):247. doi: 10.1186/s12912-021-00771-4.

Abstract

BACKGROUND

The safe and standard handling of antineoplastic drugs can reduce the effects of occupational exposure and promote safe behaviors in nurses. Thus, the present study aimed to determine the effects ofstandard guidelines education on the safe handling of antineoplastic drugs among oncologynurses in Ardabil, Iran.

METHODS

Thequasi-experimental study with a one-group pretest-posttest design was performed among 32 nursesworking in the oncology wards of two educational hospitals in Ardabil city, during 2020. Allthe nurses in the wards who met the inclusion criteria participated in the study. The data were collectedby usinga demographic information form and nurses'knowledge assessment questionnaire regardingthe standard guidelines for working with antineoplastic drugs, and a standard checklist for examiningtheir performance in this regard. Subsequently, they were analyzed by descriptive (mean and standard deviation) and inferential statistics (t-test)and Pearson's correlation coefficient) in SPSS 22.

RESULTS

The mean and standard deviation of the knowledge and performance scores of the oncology nurses was59.56±6.41and 18.96±2.54 respectively, which changed to 66±4.82 and 32.03±2.45 respectively three months after training. The results of the t-test represented a statistically significant difference between the level of knowledge and performance before and after the intervention (P=0.001).

CONCLUSIONS

Based on the results, the standard guidelines education improved the nurses' knowledge and performance on the safe handling of antineoplastic drugs in the chemotherapy wards. Therefore, it is advised to increase the awareness of the oncology nurses in this regard in the planning and policy-making ofhealthcare centers.

摘要

背景

安全规范地处理抗肿瘤药物可降低职业暴露的影响,并促进护士的安全行为。因此,本研究旨在确定标准指南教育对伊朗阿尔达比勒肿瘤护士安全处理抗肿瘤药物的影响。

方法

2020年期间,在阿尔达比勒市两家教学医院肿瘤科病房工作的32名护士中进行了采用单组前后测设计的准实验研究。符合纳入标准的病房所有护士均参与研究。通过使用人口统计学信息表、护士关于抗肿瘤药物工作标准指南的知识评估问卷以及检查其在这方面表现的标准清单来收集数据。随后,在SPSS 22中通过描述性统计(均值和标准差)和推断性统计(t检验和皮尔逊相关系数)进行分析。

结果

肿瘤护士知识得分和操作得分的均值及标准差分别为59.56±6.41和18.96±2.54,培训三个月后分别变为66±4.82和32.03±2.45。t检验结果显示干预前后知识水平和操作水平存在统计学显著差异(P = 0.001)。

结论

基于研究结果,标准指南教育提高了化疗病房护士在安全处理抗肿瘤药物方面的知识和操作水平。因此,建议在医疗中心的规划和决策中提高肿瘤护士在这方面的意识。

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本文引用的文献

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Genotoxic evaluation of occupational exposure to antineoplastic drugs.职业接触抗肿瘤药物的遗传毒性评估。
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Long-Term Care: Safe Drug Handling of Oral Chemotherapy.
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Occupational Exposure to Antineoplastic Agents.职业性接触抗肿瘤药
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