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題名:護理人員對癌症臨床試驗的知識與態度及其相關因素之探討    
Factors Associated with the Knowledge and Attitudes of Nurses toward Oncology Clinical Trials
著者:張杏焄(Hsing-Hsun Chang) ;封威蓮(Wei-Lien Feng) ;鍾佩珊(Pei-Shan Chung) ;朱正玉(Cheng-Yu Chu) ;彭汪嘉康(Jacqueline Whang-Peng) ;賴裕和(Yeur-Hur Lai)
出版地區:台灣
出版城市:台北市
學科:醫學綜合
關鍵字:臨床試驗 ; 研究護理師 ; 臨床試驗態度 ; clinical trial ; clinical research nurse ; attitudes toward clinical trials
刊名:中華民國癌症醫學會雜誌
頁碼:430-438
語言:繁體中文
摘要: 中文摘要PDF ; 英文摘要PDF

背景:護理人員是試驗團隊中不可或缺的第一線專業人員,在臨床試驗進行期間直接提供癌症受試者及家屬專業諮詢及健康照護。 研究目的:為瞭解臨床護理人員對於癌症臨床試驗的知識程度及態度,並探討影響之相關因素。 研究方法:描述性研究,採橫斷式的問卷調查方式收集資料,以方便取樣於台灣地區北、中、南、東共5家教學醫院之腫瘤科門診及曾照護癌症臨床試驗病患的病房(腫瘤、內、外、婦科、安寧、骨髓移植),對護理人員進行問卷調查,實得有效問卷254份。 研究結果:顯示(1)本研究中71%的護理人員曾有照顧受試者的經驗,但僅20%曾接受過臨床試驗課程。(2)整體護理人員對癌症臨床試驗態度趨於正向(總平均值3.93,5分量表)。其中腫瘤門診護理人員態度平均得分(4.2±0.5)高於一般病房(3.96±0.5),且高於腫瘤科病房(3.79±0.5)護理人員,因本研究樣本數差異大,因此統計結果仍需待商榷。(3)評估整體護理人員對癌症臨床試驗知識平均答對率67.3%,各題答對率分佈由8.3%至93.3%不等,顯示知識程度不足。(4)年齡愈大、工作年資愈久及任職腫瘤科門診的護理人員對癌症臨床試驗態度愈正向。癌症臨床試驗知識與態度呈正相關(γ=0.22, p<.001),表示知識程度越高,態度越正向。 結論:目前國內護理人員養成教育課程中,缺乏研究倫理及人體試驗相關訓練,建議護理人員應接受適當的醫學研究與臨床試驗專業教育課程。除了試驗計畫主持人,研究護理師專職於臨床試驗領域,應加強專業角色功能,積極協助參與臨床試驗教育的工作,共同提升癌症試驗受試者之照護品質。
Background: Clinical trials, especially in oncology, have been a major trend in medical centers. Nurses are essential health care providers in the front line of clinical trials as patients and their family depend on nurses constantly to obtain professional consultation and health care. Purpose: The purpose of this study was to investigate the factors affecting the knowledge and attitudes of clinical nurses toward oncology clinical trials. Methods: In this descriptive and cross-sectional study, questionnaires were completed by nurses caring for patients undergoing oncology clinical trials in the wards and the oncology ambulatory clinics of five medical centers and teaching hospitals in northern, central, southern and eastern Taiwan. Results: A total of 254 valid questionnaires were collected. Overall, 71% of nurses had experience caring for patients in clinical trials, but only 20% of nurses received training in clinical trials. As a whole, their attitudes toward oncology clinical trials were positive (mean=3.93, SD=0.5). Nurses in ambulatory clinics gave the highest scores (4.2±0.5), followed by those in the general wards (3.96±0.50), while those in oncology wards gave the lowest scores (3.79±0.5). Most nurses had insufficient knowledge about oncology clinical trials, and they answered on average 67.3% of the questions correctly (range 8.3% to 93.3%). Nurses who were more senior and who worked at oncology ambulatory clinics had more positive attitudes toward oncology clinical trials. A positive correlation was found between knowledge and attitudes toward oncology clinical trials. Conclusions: The current nursing continuing education program in Taiwan lacks information and training on ethics and human clinical trials. This study showed that nurses' knowledge about clinical trials is inadequate, and it recommends that nurses actively and constantly update their knowledge on medical research and clinical trials. Clinical research nurses, who specialize in providing care in clinical trials, should strengthen their professional roles; and in order to upgrade the quality of care of patients enrolled in oncology clinical trials, these nurses should also actively participate in patient education.


    

本卷期目次
中華民國癌症醫學會雜誌
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Pemetrexed Followed by Docetaxel or a Reverse Sequence in Non-Small-Cell Lung Cancer/ Wen-Chien FanYuh-Min ChenJen-Fu ShihYu-Chin LeeReury-Perng Perng
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護理人員對癌症臨床試驗的知識與態度及其相關因素之探討/ 張杏焄封威蓮鍾佩珊朱正玉彭汪嘉康賴裕和
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Intramedullary Sarcoidosis/ Ying-Chih ChenSheng-Jean HuangAbel Po-Hao HuangYu-Ting TsengLong-Wei LinYong-Kwang TuLu-Ting Kuo
Suprasellar Metastasis of Pulmonary Adenocarcinoma/ Jen-Ho TsengSheng-Huang HsiaoJung-Mao ChouAnn-Jeng Liu
Aggressive Gastrointestinal Stromal Tumor Associated with Pituitary Acromegaly/ Hung-Yu ChienLon-Shyong LeeSheng-Huang Hsiao
Malignant Thyroid Teratoma with Aggressive Neck and Intrathoracic Disseminations/ Wei-Chun LoShi-Ping LuhDong-Long WuMao-Te Chuang
 
   
 
   

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