Nieweg R M, de Boer M, Dubbleman R C, Gall H E, Hesselman G M, Lenssen P C, van Maanen L W, Majoor P W, Ouwerkerk J, Slegt J H
Academic Medical Center/Comprehensive Cancer Center, Amsterdam, The Netherlands.
Cancer Nurs. 1994 Dec;17(6):501-11.
As research continues to highlight the risks involved in handling antineoplastic drugs, the health services are giving increased attention to safety measures. In order to establish what protective measures nursing staff employ and what they know about antineoplastic drugs, a survey was carried out in The Netherlands. The questions were based on the self-study modules by Dunne and the (American) Oncology Nursing Society. A total of 1,373 questionnaires were distributed in 10 hospitals. Of these, 824 were returned, which represents a response rate of 60%. Over two-thirds (68%) of the nursing staff reported that they were involved, on a daily or weekly basis, in caring for patients being treated with antineoplastic drugs. In the view of 94% of the nurses, protective measures are effective. While administering antineoplastic drugs, 91% of the respondents said that they wore gloves, 21% said that they wore a gown, 18% wore a mask, and 3% used goggles. While handling excreta, fewer nurses applied safety measures. Thirty-nine percent of the respondents knew that latex gloves offer a greater degree of protection than PVC gloves. It appeared that there was not one Dutch hospital whose guidelines for the safe handling of antineoplastic material were completely up-to-date and that nurses do not always follow the guidelines established.
随着研究不断强调处理抗肿瘤药物所涉及的风险，医疗卫生服务机构越来越关注安全措施。为了确定护理人员采用了哪些防护措施以及他们对抗肿瘤药物的了解程度，在荷兰开展了一项调查。问题基于邓恩以及（美国）肿瘤护理协会的自学模块。在10家医院共发放了1373份问卷。其中，824份被收回，回复率为60%。超过三分之二（68%）的护理人员报告称，他们每天或每周都参与护理接受抗肿瘤药物治疗的患者。94%的护士认为防护措施是有效的。在使用抗肿瘤药物时，91%的受访者表示他们戴手套，21%表示穿长袍，18%戴口罩，3%使用护目镜。在处理排泄物时，采取安全措施的护士较少。39%的受访者知道乳胶手套比PVC手套提供更高程度的防护。结果显示，没有一家荷兰医院关于安全处理抗肿瘤物质的指南是完全最新的，而且护士并非总是遵循既定的指南。
