提升收集周邊血液幹細胞捐贈者護理指導完整率專案

A Project for Improving the Completion Rate of Nursing Instruction for Collection of Peripheral Blood Stem Cells from Donors

10.3966/102673012017062802007

吳慧儀(Hui-Yi Wu)；盧文儀(Wei-Yi Lu)；蕭玉鳳(Yu-Feng Xiao)；陳佳佳(Chia-Chia Chen)；李淑慧(Shu-Hui Lee)

周邊血液幹細胞 ； 捐贈者 ； 護理指導 ； 完整率 ； peripheral blood stem cells ； donors ； nursing instruction ； completion rate

長庚護理

28卷2期（2017 / 06 / 01）

267 - 278

繁體中文

本專案主旨為提升周邊血液幹細胞捐贈者護理指導完整率。經由專案小組調查發現因為護理人員認知不足、收集周邊血液幹細胞衛教指導工具不足及缺乏收集周邊血液幹細胞衛教指導進度標準流程，導致護理人員對周邊血液幹細胞捐贈者護理指導完整率僅50.9%。本專案進行時間自2013年12月6日至2014年5月20日，內容包括：規劃在職教育課程、設計收集周邊血液幹細胞護理指導進度查檢表及製作並運用收集周邊血液幹細胞護理指導光碟進行衛教。經由專案改善後，周邊血液幹細胞捐贈者護理指導完整率由50.9%上升為93.3%，達專案目標；捐贈者滿意度由72.2%提升至92%，除了提升護理指導完整率，並提升周邊血液幹細胞捐贈者的對護理指導的滿意度。

Hematopoietic stem cell transplantation is a therapeutic strategy for various life-threatening diseases such as leukemia, lymphoma and multiple myeloma. The keystone to treatment success is effective harvest of stem cells. In our hospital, hematopoietic stem cells are collected only from peripheral blood. The process includes insertion of femoral double lumen catheters and extracorporeal circulation. Although stem cell collection is considered safe and the complications are minimal, patients or normal donors are often naïve to the procedure and therefore may have tremendous stress. The stress resulting from lack of knowledge can be improved by high-quality health education. The main purpose of this project is to improve the completeness of nursing instruction for peripheral blood stem cell collection from donors. Before implementation of this project, the completion rate of nursing instruction provided by nursing staff for peripheral blood stem cell donors was only 50.9%. Several factors account for such suboptimal results: 1). nursing personnel’s lack of awareness, 2). lack of instructional tools and 3). absence of standard operational procedures for delivering education on collection of peripheral blood stem cells. This project was implemented from December 6, 2013 to May 20, 2014. The content included: planning of in-service education programs for nursing personnel, design and application of nursing instruction progress form for collection of peripheral blood stem cells, and production and application of nursing instruction videos for collection of peripheral blood stem cells to provide health education. After this project was implemented, the completion rate of nursing instruction for collection of peripheral blood stem cells from donors increased from 50.9% to 93.3%. The goals of this project were achieved. The satisfaction of donors increased from 72.2% to 92%. In our experience, the care quality for peripheral blood stem cell donors could be improved by implementation of well-designed education programs.

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