Kolbus Jeff, Adeola Mopelola T, Tipton Janelle M, Luebcke Caitlin E D
Department of Nursing, Purdue University, 502 N University St, West Lafayette, IN 47907, USA.
Indiana Internal Medicine Consultants, 701 E County Line Rd # 101, Greenwood, Indianapolis, IN 46143, USA.
Cardiooncology. 2024 Sep 14;10(1):62. doi: 10.1186/s40959-024-00261-x.
Preliminary research reveals that many nurses feel inadequate and possess limited knowledge when it comes to managing cardiotoxicity, underscoring the necessity for educational programs to enhance nursing skills in this area.
The aim of the study was to assess the impact of an educational intervention on nurses perceived self-efficacy in recognizing patients exhibiting symptoms of cancer treatment-related cardiotoxicity. The study was set in a 16-bed cardiac critical care unit (CCU) within a 462-bed hospital. The sample group was comprised of registered nurses (RNs) working on or floating to the CCU. The study used a within-subjects design. Participants completed a pre-education survey, attended one of six 30-minute education interventions, and completed a post-education survey. The outcome variables were 7 self-confidence questions from the Nursing Self-Efficacy Scale for Managing Cancer Treatment-Related Cardiotoxicity (NSS-CTC) on a 5-point Likert scale and one yes or no self-efficacy question. Descriptive statistics and paired T-tests were applied to analyze pre- and post-education surveys.
The pre-and post-education comparative analysis for each of the 7 NSS-CTC self-confidence questions was statistically significant with test statistics ranging from t = 3.43 to t = 8.69 and p-values ranging from 0.0021 to less than 0.0001. All 26 RNs answered "yes" in their ability to detect symptoms of cancer therapy-related cardiotoxicity after the education.
The lack of education for cardiac nurses against the backdrop of increasing cardiotoxicity in cancer patients showcases the essential need for cardiac nurse early symptom recognition education.
初步研究表明，许多护士在处理心脏毒性方面感到能力不足且知识有限，这凸显了开展教育项目以提高该领域护理技能的必要性。
本研究的目的是评估一项教育干预措施对护士识别癌症治疗相关心脏毒性症状患者时自我效能感的影响。该研究在一家拥有462张床位的医院内一个有16张床位的心脏重症监护病房（CCU）进行。样本组由在CCU工作或轮转到该病房的注册护士（RN）组成。本研究采用组内设计。参与者完成了教育前的调查，参加了六个30分钟教育干预中的一个，然后完成了教育后的调查。结果变量包括来自癌症治疗相关心脏毒性管理护理自我效能量表（NSS - CTC）的7个关于自信的问题，采用5点李克特量表评分，以及一个关于自我效能的是或否问题。应用描述性统计和配对t检验来分析教育前后的调查结果。
对NSS - CTC的7个自信问题中的每一个进行教育前后的比较分析，结果均具有统计学意义，检验统计量范围为t = 3.43至t = 8.69，p值范围为0.0021至小于0.0001。所有26名注册护士在接受教育后都回答他们有能力检测出癌症治疗相关心脏毒性的症状。
在癌症患者心脏毒性不断增加的背景下，心脏护士缺乏相关教育，这表明对心脏护士进行早期症状识别教育至关重要。
