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护理在化疗药物外渗管理中的作用:一项关于公共卫生的系统评价

The Role of Nursing in the Management of Chemotherapy Extravasation: A Systematic Review Regarding Public Health.

作者信息

Antúnez-Blancat Antonio, Gago-Valiente Francisco-Javier, García-Iglesias Juan-Jesús, Merino-Navarro Dolores

机构信息

Department of Nursing, Faculty of Nursing, University of Huelva, 21007 Huelva, Spain.

Centro de Investigación en Pensamiento Contemporáneo e Innovación para el Desarrollo Social (COIDESO), University of Huelva, 21007 Huelva, Spain.

出版信息

Healthcare (Basel). 2024 Jul 22;12(14):1456. doi: 10.3390/healthcare12141456.

Abstract

The scientific literature was reviewed with the aim of analysing the state of the art on the role of nursing in the management of chemotherapy extravasation, recognising the possible risk factors and identifying effective training programmes for nurses. WOS, Scopus, and PubMed databases were used to perform the searches. Papers that met the inclusion criteria and that had been published in the last 9 years were selected. The Effective Public Health Practice Project (EPHPP) instrument was applied to the selected studies. In addition, this research was registered in the International Prospective Register of Systematic Reviews (PROSPERO) (ID: 512480). Out of the 23 initially selected articles, a total of 9 articles were eventually included, since they met the eligibility criteria that were established after a more exhaustive analysis, which included reading their abstracts and full texts. The results show that the management of chemotherapy extravasation is closely related to factors that largely depend on the nursing staff. Among the most relevant findings are factors including the identification of the nursing role in the management of extravasation due to chemotherapy; risk factors; and effective training programmes for nursing. Nurses play a crucial role throughout the entire process of treatment, prevention, and health education in chemotherapy treatment. Training programmes for nurses are fundamental, as they increase their professional competence and improve the safety of the patient. Adequate knowledge of chemotherapy treatment and the risk factors of extravasation are basic elements for the prevention of this type of injury, as well as for the improvement of the quality of life of patients under this kind of intravenous therapy.

摘要

对科学文献进行了综述,目的是分析护理在化疗药物外渗管理中的作用的现状,识别可能的风险因素,并确定针对护士的有效培训项目。使用Web of Science(WOS)、Scopus和PubMed数据库进行检索。选择了符合纳入标准且在过去9年发表的论文。将有效公共卫生实践项目(EPHPP)工具应用于所选研究。此外,本研究已在国际系统评价前瞻性注册库(PROSPERO)中注册(ID:512480)。在最初选择的23篇文章中,最终共纳入9篇文章,因为它们符合在更详尽分析(包括阅读摘要和全文)后确定的纳入标准。结果表明,化疗药物外渗的管理与很大程度上取决于护理人员的因素密切相关。最相关的发现包括化疗药物外渗管理中护理角色的识别、风险因素以及针对护理人员的有效培训项目等因素。护士在化疗治疗的整个治疗、预防和健康教育过程中发挥着至关重要的作用。护士培训项目至关重要,因为它们能提高护士的专业能力并改善患者的安全性。对化疗治疗和外渗风险因素的充分了解是预防此类损伤以及改善接受此类静脉治疗患者生活质量的基本要素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a833/11276807/b5f7393693c4/healthcare-12-01456-g001.jpg

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