静脈内投与が困難であるリスク因子 (DIVA) に関する看護師の評価は,患者の癌の種類によって異なります
Emely Alfaro1, Marissa Canote1, Teresa Cosgrove1
1Adult Infusion Services, Helen Diller Family Comprehensive Cancer Center, University of California, San Francisco, CA.
まとめ
輸液看護師は,がん患者の静脈内投与困難 (DIVA) を予測するさまざまな要因を認識しています. 血性悪性腫瘍を治療する看護師は 肥満,不安,不安を 固体腫瘍を治療する看護師よりも 高いDIVA予測値として評価しました
科学分野:
- 腫瘍 介護
- 血管アクセス管理
- 患者 の 評価
背景:
- 癌の化学療法を受けた患者の多くは 外来治療を受けています.
- 周周静脈 (IV) アクセスは,化学療法投与に不可欠です.
- 静脈内へのアクセス困難 (DIVA) の予測要因を特定することは,効率的な患者ケアに不可欠です.
研究 の 目的:
- 固体腫瘍と血液学的悪性腫瘍の患者の間でのDIVA予測者の認識を比較する.
- 異なるがん患者集団における IV アクセスに挑戦する看護師が関連付ける特定の要因を特定する.
主な方法:
- 治療室の看護師152人に メールでQualtricsの調査が送られました
- 看護師は様々なDIVAの予測可能性を0から10のスケールで評価した.
- 参加者は,固体腫瘍または血液学的悪性腫瘍の患者をケアしたかどうかに基づいて分類されました.
主要な成果:
- 血液学的悪性腫瘍の患者を治療する看護師は,DIVAの有意に高い予測要因として"患者に体重過多"",患者に肥満"",精神運動動揺",および"針恐怖症または不安"を評価しました.
- これらの要因は,固体腫瘍患者の看護師によって低評価されました.
結論:
- DIVA予測因子の看護師の認識は,患者の癌のタイプ (固体腫瘍と血液学的悪性腫瘍) に基づいて異なります.
- 発見は,様々な腫瘍学集団における難易度の高いIVアクセスの特定の危険因子に関して,注射看護師の標的教育を参考にすることができます.
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