降低化學治療外滲的發生率

Reduce the Extravasation Rate of Chemotherapy

本專案的目的是建立化學治療照護標準結果指標，以提供病患化學治療用藥的安全。本單位92年6月至10月發生2件外滲，造成病患血管刺痛紅腫，不僅產生生理、心理多重傷害，亦呈現醫療品質的缺失，同時也導致護理人員照護化學藥物治療的病患時莫大的壓力；針對上述情形，瞭解要因並擬定解決方法：1.制定化學藥物治療之護理標準作業流程。2.制定化學藥物外滲處理流程。3.建立化學治療品管指標監測。本專案實施後外滲發生件數為0件，護理人員有護理標準可依循，照顧化學藥物治療的病患時更有安全感及信心，也讓護理人員對執行化學治療滿意度有所提昇，達到化學治療照護過程的完整性。

The purpose of this project was to establish outcome indicators for chemotherapy care, inorder to provide the safety of chemical medicine treatments for patients. There were two extravasationoccurrences during June to October in 2003, which caused the pain in the blood vessel andredness on the skin. It not only produced the physiology and psychology injures, but also exposedthe defect of medical quality and causing the nursing staff's many pressures considuring patient'schemical medication. To reduce the problem, a project was designed to correct these deficits: 1. Toestablish the standard nursing procedure of the chemotherapy. 2. To develop the extravasationhandling procedure. 3. To set up the chemotherapy quality monitor index. After the project wasimplemented, no more extravasation occurred. This project has successfully established a completeset of standard nursing procedure of chemotherapy and improved the satisfaction of nurses.