提升門診膀胱灌注治療滿意度

Enhance outpatient intravesical treatment satisfaction

膀胱癌是泌尿科常見腫瘤，病人需長期膀胱灌注治療，若患者缺乏妥善照護與指導，易有治療期不適感和負向情緒，繼而萌生拒絕或中斷治療，影響療效並危及生命安全。於2017年3月6日至4月10日於門診接受膀胱灌注之40位病人進行治療滿意度問卷調查，其滿意度為64.6%，分析原因：治療流程複雜、治療室缺乏隱私不符合病人需求、護理人員未確實執行衛教等。經專案簡化作業流程、護理人力調整、改善治療環境與設備、制定作業標準流程、製作多媒體衛教檔等。經改善措施後，膀胱灌注滿意度由64.6%提升至90%，達專案目標並提升門診膀胱灌注治療品質。

"Bladder cancer is a common urological cancer. Patients with bladder cancer require longterm intravesical treatment. A lack of adequate care and guidance can lead to a patient becoming uncomfortable and experiencing negative emotions during treatment, which in turn may lead to refusal or interruption of treatment, thereby affecting the patient’s outcomes. Between March 6, 2017, and April 10, 2017, questionnaires were administered to 40 patients receiving outpatient intravesical instillation. The rate of patient satisfaction with the intravesical therapy was 64.6%. Some reasons for patient dissatisfaction were the complexity of the treatments, lack of treatment room space and facilities, lack of privacy, inadequate nurse training, and lack of health education. After improvement of the treatment process, room environment, and facilities; development of operational standards and procedures; and implementation of multimedia health education, the patient satisfaction rate increased from 64.6% to 90%, which reflects advancement in the quality of outpatient care for patients undergoing intravesical therapy."