| 英文摘要 |
Effective post-chemotherapy instructions from nurses can reduce patients’ anxiety and improve their self-care. Our goal was to improve the effectiveness of nurses’ instructions to patients after chemotherapy. The effectiveness of instructions provided by our oncology nurses was unacceptably low for many reasons: unorganized nursing instruction-related education, the lack of standard procedures for providing the instructions and of an auditing system to evaluate them, the nurses’ lack awareness of the proper timing for their instructions and their inaccurate knowledge, a lack of tools for supplementary health education, unclear labeling on the instruction leaflets, patient physical fatigue, low patient motivation to learn, alternating family caregivers, and low family-member motivation to learn. These findings led to a project aimed at improvements that included developing standards for nurses’ instructions to patients after chemotherapy, arranging continuing education for nurses to increase their knowledge of chemotherapy, regular monitoring of the effectiveness of nurses’ instructions, designing a set of varieties of supplementary health education, and clearly classifying and marking nursing instruction leaflets. After the program, the effectiveness of nurses’ instructions improved: the performance rate of nurses’ instructions to patients increased from 45.0% to 91.1%, the completion rate of the instructions increased from 19.3% to 84.1 %, and the mean overall patient satisfaction score with the instructions increased from 62/100 to 84/100. This project achieved its goal of improving the effectiveness of nurses’ instructions. We therefore recommend it as a reference for teaching nurses how to give instructions to post-chemotherapy patients. |
