CAJ | 학술논문

目的：了解武汉市三甲综合医院接触化疗药物的护士对其所在医院或科室的化疗防护管理状况的评价。方法采用自行设计的问卷，对武汉市5家三甲综合性医院肿瘤科284名护士和使用化疗药物较多的非肿瘤科208名护士进行调查。结果非肿瘤科配制过化疗药物的护士达94．2％，高于肿瘤科护士66．9％，差异有统计学意义（χ2＝62．825，P＜0．01）；非肿瘤科护士报告所在医院或科室设有化疗药物配置中心、专人管理和配制化疗药物的比率分别为19．2％，28．8％和31．7％，低于肿瘤科的68.0％，53．5％和57．7％，差异有统计学意义（χ2值分别为117．774，28．735，38．344，P＜0．01）；非肿瘤科护士报告科室有独立配药间、生物安全柜、独立配药台、化疗废弃物专用容器的比率分别为16．3％，20.2％，27．4％和40．4％，低于肿瘤科的51．4％，49．3％，53．2％，52．1％，差异有统计学意义（χ2值分别为76．582，53．297，39．542，6．970；P＜0．01）。结论肿瘤科或非肿瘤科护士均有较多机会接触化疗药物。医院化疗防护管理有待进一步加强和完善，除了肿瘤科，可能接触化疗药物的非肿瘤科护士也应成为化疗防护的重点人群。
목적：료해무한시삼갑종합의원접촉화료약물적호사대기소재의원혹과실적화료방호관리상황적평개。방법채용자행설계적문권，대무한시5가삼갑종합성의원종류과284명호사화사용화료약물교다적비종류과208명호사진행조사。결과비종류과배제과화료약물적호사체94．2％，고우종류과호사66．9％，차이유통계학의의（χ2＝62．825，P＜0．01）；비종류과호사보고소재의원혹과실설유화료약물배치중심、전인관리화배제화료약물적비솔분별위19．2％，28．8％화31．7％，저우종류과적68.0％，53．5％화57．7％，차이유통계학의의（χ2치분별위117．774，28．735，38．344，P＜0．01）；비종류과호사보고과실유독립배약간、생물안전거、독립배약태、화료폐기물전용용기적비솔분별위16．3％，20.2％，27．4％화40．4％，저우종류과적51．4％，49．3％，53．2％，52．1％，차이유통계학의의（χ2치분별위76．582，53．297，39．542，6．970；P＜0．01）。결론종류과혹비종류과호사균유교다궤회접촉화료약물。의원화료방호관리유대진일보가강화완선，제료종류과，가능접촉화료약물적비종류과호사야응성위화료방호적중점인군。
Objective To assess the chemotherapeutic protection management among nurses who exposed to chemotherapy drug .Methods A cross-sectional survey was conducted among nurses who worked in oncology and non-oncology department in 5 Class-3 general hospitals in Wuhan .492 nurses were investigated by a self-designed questionnaire .Results 94.2% nurses from non-oncology department had the experience of preparing chemotherapy drugs , which was more than the proportion of nurses ( 66 .9%) from the oncology department.There was significant difference between groups (χ2 =62.825,P<0.01).The proportions of non-oncology specialized nurses who reported that the hospitals or departments they worked in were equipped with chemotherapy drugs dispensing center , arranged someone to manage and prepare chemotherapy drugs were 19.2%,28.8% and 31.7%, respectively, which were lower than those of oncology specialized nurses (68.0%,53.5% and 57.7%).There were significant differences between groups (χ2 =117.774,28.735, 38.344, respectively;P<0.01).The proportions of the nurses reporting that the hospitals or departments they worked in were equipped with separate dispensing room , biological safety cabinets , separate dispensing desk , special chemotherapy waste container were 16.3%,20.2%,27.4% and 40.4%, respectively in non-oncology department, which were also lower than those of oncology specialized nurses (51.4%,49.3%,53.2% and 52.1%).There were significant differences between groups (χ2 =76.582, 53.297, 39.542, 6.970, respectively;P<0 .01 ) .Conclusions Nurses working in whether oncology or non-oncology departments have many opportunities to exposure to chemotherapy drugs . Hospitals should strengthen and improve chemotherapeutic protection management .Besides , oncology nurses or non-oncology nurses who are possibly expose to chemotherapy drugs should be focused as the groups needed chemotherapeutic protection .