CAJ | 학술논문

目的探讨在乳腺癌化疗病房实施护理风险管理的效果.方法对2011年1-6月行乳腺癌化疗的患者进行回顾性调查,分析可能引起药物外渗的因素并采取相应的护理风险管理措施；并于201 1年7-12月对护理人员进行干预,对药物渗出情况进行前瞻性调查,分别评估干预前及干预后护士对化疗药物的认知情况.结果实施护理风险管理后,化疗药物的渗出率较干预前下降了5.7％,无皮肤坏死的情况发生；护士对化疗药物使用的专业知识认知水平较干预前明显提高,两者比较差异有统计学意义(x2值分别为4.727,6.190,4.887,4.887；P＜0.05).结论在乳腺癌化疗病房实施护理风险管理有助于减少化疗过程中的护理风险,提高护士的专业知识认知水平.
목적 탐토재유선암화료병방실시호리풍험관리적효과.방법 대2011년1-6월행유선암화료적환자진행회고성조사,분석가능인기약물외삼적인소병채취상응적호리풍험관리조시；병우201 1년7-12월대호리인원진행간예,대약물삼출정황진행전첨성조사,분별평고간예전급간예후호사대화료약물적인지정황.결과 실시호리풍험관리후,화료약물적삼출솔교간예전하강료5.7％,무피부배사적정황발생；호사대화료약물사용적전업지식인지수평교간예전명현제고,량자비교차이유통계학의의(x2치분별위4.727,6.190,4.887,4.887；P＜0.05).결론 재유선암화료병방실시호리풍험관리유조우감소화료과정중적호리풍험,제고호사적전업지식인지수평.
Objective To explore the effect of implementing risk management in the breast cancer chemotherapy ward.Methods The breast cancer chemotherapy patients between January 2011 and June 2011 were retrospectively surveyed and analyzed the factors that may caused drug extravasation and took the appropriate care risk management measures,nurses received the intervention between July 2011 and December 2011,the situation of drug leaking was investigated and the nurses' cognition on drug chemotherapy before and after intervention was assessed,Results After implementing care risk management,the leakage rate of chemotherapy drug was decreased 5.7％,and no skin necrosis occurred.The nurses' professional knowledge about the usage of chemotherapy drug was obviously improved than that before intervention,and the difference was statistically significant (x2 =4.727,6.190,4.887,4.887 ; P ＜ 0.05).Conclusions Implementing risk management in breast cancer chemotherapy ward can reduce the risk of care in chemotherapy and improve the nurses' professional knowledge.