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首页> 外文期刊>Journal of the advanced practitioner in oncology >Nurse Self-Evaluation of Assessment of Chemotherapy-Induced Peripheral Neuropathy in Patients With Cancer
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Nurse Self-Evaluation of Assessment of Chemotherapy-Induced Peripheral Neuropathy in Patients With Cancer

机译：癌症患者化疗引起的周围神经病变评估的护士自我评估

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摘要

The focus of this study was to assess the feasibility and clinical implementation of a standardized assessment for chemotherapy-induced peripheral neuropathy (CIPN) by registered nurses in patients undergoing neurotoxic chemotherapy. A total of 24 registered nurses from 4 different institutions were enrolled into the study. A pre- and posttest design was used to assess changes in nurses' attitudes, knowledge, and perceived skill in CIPN assessment. Using selected data collection instruments, nurses performed standardized assessments during the course of chemotherapy treatments. Patient-reported symptoms, vibratory sensation, deep-tendon reflexes, and touch were collected at three time points during chemotherapy treatment. Results indicated there was no statistically significant change in knowledge of chemotherapy-induced peripheral neuropathy from baseline to the end of the study. However, this finding may be due to poor internal consistency noted among the items of the Nurse Knowledge and Attitudes CIPN Assessment. Implementation of a standardized subjective and objective nursing assessment of CIPN was feasible with a total mean feasibility score of 3.76 (range 0-5) with each individual item scoring between 3.35 and 3.91. The intervention did improve pretest and posttest confidence in performing assessment for CIPN (p = .003).
机译：这项研究的重点是评估由注册护士对接受神经毒性化学疗法的患者进行化学疗法诱发的周围神经病（CIPN）标准化评估的可行性和临床实施。共有来自4个不同机构的24名注册护士被纳入研究。测试前和测试后的设计用于评估护士在CIPN评估中的态度，知识和感知技能的变化。使用选定的数据收集工具，护士在化学疗法治疗过程中进行了标准化评估。在化疗过程中的三个时间点收集患者报告的症状，振动感觉，肌腱深反射和触觉。结果表明，从基线到研究结束，化疗引起的周围神经病变的知识没有统计学上的显着变化。但是，该发现可能是由于在护士知识和态度CIPN评估项目中注意到的内部一致性差。实施标准化的CIPN主观和客观护理评估是可行的，总平均可行性评分为3.76（范围0-5），每个项目的评分均在3.35和3.91之间。干预确实提高了对CIPN进行评估的测试前和测试后信心（p = .003）。

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