完全植入式静脉通路装置的护理实践及儿科和成人肿瘤科护士的经验。
Totally Implantable Venous Access Device Care Practices and Experiences of Pediatric and Adult Oncology Nurses.
机构信息
Author Affiliations: Department of Nursing, School of Health Sciences, KTO Karatay University, Konya, Türkiye (Gündogdu); School of Nursing, Koç University, İstanbul, Türkiye (Semerci); Gazi University Hospital, Ankara, Türkiye (Bay).
Fatma Gündogdu is an assistant professor in the Department of Nursing at KTO Karatay University. She specializes in adult cancer and symptom management. Her research and teaching focus on the management of chemotherapy and radiotherapy-induced symptoms and on reducing these symptoms with nonpharmacological methods. She has been a member of the Turkish Oncology Nursing Society for 27 years and is a member of the board. Currently, she is a board member of the Oncology Nursing Association and is the coordinator of both the research and the geriatric hematologic oncology nursing working commissions. She has collaborated with the Ministry of Health in developing guidelines for the safe use of antineoplastic drugs in Türkiye. Furthermore, she pioneered the development of the chemotherapy nursing certificate program and, subsequently, the oncology nursing certificate program in Türkiye. Remziye Semerci is an assistant professor in the Department of Pediatric Nursing at Koç University. She is interested in childhood cancer and symptom management. Her research and teaching focus on the management of chemotherapy-induced symptoms and reducing these symptoms with nonpharmacological methods. She is a member of the Turkey Oncology Nursing Society; additionally, she takes a role in some commissions, including the Pediatric Oncology Group (group secretary) and Research Group (group secretary). She is a Turkish representative of the Young Cancer Nurses Network and a member of the SIOP Nursing Working Group. Figen Bay is a specialist nurse and has worked as a nurse at a university hospital for 28 years. She served as the charge nurse for the Oncology Hematology Clinic for many years. She has been a board member of the Turkish Oncology Nursing Society for 22 years and has served as the society's president for the last 6 years. Ms. Bay has attended numerous national and international congresses and courses in the field of oncology, authored several book chapters, and holds the authority responsible for the Ministry of Health-approved Oncology Nursing Certification training program. Actively involved in planning and implementing training programs nationwide, in every region and province, she aims to educate nurses in the field of oncology and to enhance the quality of oncology patient care.
出版信息
J Infus Nurs. 2024;47(3):182-189. doi: 10.1097/NAN.0000000000000547. Epub 2024 May 10.
This study aimed to determine the practices of nurses working in pediatric and adult oncology clinics regarding totally implantable venous access device (TIVAD) care. The descriptive study was conducted with 227 oncology nurse members of the Oncology Nursing Association. The data were collected online with a survey form, which included questions about the participants' sociodemographic characteristics, professional experience, and TIVAD implementation practices. Descriptive statistics and ꭓ2 tests were used for the analysis of the data. It was determined that 44.1% of the nurses used 0.9% NaCl for active TIVAD flushing; 15.9% of them used a positive-pressure 0.9% NaCl-filled syringe; 12.3% used antireflux connectors; 85.5% used manual positive pressure technique; and 53.7% used the pulsatile technique. A statistical difference was found between nurses' training on TIVAD care and TIVAD occlusion rate in the clinic, TIVAD infection rate, following the guidelines, and using the pulsatile technique (P < .05). This study revealed that there are differences in the practices for TIVAD care and that the recommendations in the literature/guidelines are not implemented at the desired level to ensure continuity and prevent complications.
本研究旨在确定在儿科和成人肿瘤科诊所工作的护士在完全植入式静脉通路装置（TIVAD）护理方面的实践情况。这是一项描述性研究，共有 227 名肿瘤护理协会的肿瘤科护士参与。研究数据通过在线调查表单收集，其中包括参与者的社会人口学特征、专业经验以及 TIVAD 实施实践等问题。数据分析采用描述性统计和卡方检验。结果表明，44.1%的护士使用 0.9%氯化钠溶液进行 TIVAD 主动冲洗；15.9%的护士使用正压 0.9%氯化钠溶液填充的注射器；12.3%的护士使用防反流连接器；85.5%的护士使用手动正压技术；53.7%的护士使用脉冲技术。研究发现，护士在 TIVAD 护理方面的培训以及诊所中 TIVAD 闭塞率、TIVAD 感染率、遵循指南和使用脉冲技术等方面存在差异（P<.05）。这表明，TIVAD 护理实践存在差异，文献/指南中的建议并未达到预期水平，无法确保连续性并预防并发症。
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