The Status of Education for Patients and Their Family Members on How to Prevent Exposure to Anticancer Drugs When Handling Bodily Excretions

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  • 抗がん薬曝露を予防するための排泄物の取り扱いに関する患者・家族への教育状況の実態
  • コウガンクスリ バクロ オ ヨボウ スル タメ ノ ハイセツブツ ノ トリアツカイ ニ カンスル カンジャ ・ カゾク エ ノ キョウイク ジョウキョウ ノ ジッタイ

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Abstract

<p>To clarify an education status on the handling of excrement for outpatients receiving anticancer drugs and their family members, a survey using questionnaire on the education of the exposure prevention for the patients and their family was performed on 1,554 nurses engaged in 227 hospitals including 135 core cancer hospitals.</p><p>Among the 1,154 subjects, 756 subjects provided valid responses. Subjects who explained the precautions during the excretion or the handling of diapers, stoma, and linen with excrement were less than 40% for the patients and less than 25% for their family members. In all 5 items related to caution during excretion and 6 out of 8 items related to the handling of diapers, stoma, and linen, the frequency of explanations to family members was significantly lower than that of patients. More than 90% of the subjects needed exposure prevention education for patients and their family members. Free descriptions about the difficulty of exposure prevention education included “concerns about the degree, method, and content of preventive education”, “difficulty in changing the patient’s excretion habits”, “difficulty in responding to the characteristics of the patient and their family members” and “patients and family members’ hesitation to request special items”.</p><p>These results indicate that nurses are aware of the necessity of exposure prevention education for patients receiving outpatient chemotherapy and their family members, but the education provided to such patients and family members has been insufficient. Since the family members as well as the patients are affected by the exposure, education on the handling of excrement is necessary for both patients and their family members. In addition, it is important to consider the patients’ situation including living environment, their family background, and economy and be careful not to give excessive anxiety.</p>

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