According to the 2013 statistics, the median survival time was 1.5 years after the standard treatment (CCRT) of patients with malignant brain tumors in Taiwan. Therefore, the care of health care teams need to have a common strategy to establish guidelines for a common Care goals and improve the quality of the patient's life, so the establishment of clinical care guidelines and the effectiveness of evaluation, the period help of malignant brain tumor patients and clinical care colleagues to clinical care ability.
Purpose:
1. Establish the clinical guidelines for malignant brain tumor care
2. Effect of clinical care on the use of malignant brain tumor care
Methods:
This study was conducted in a neurosurgical ward in a medical center in Taiwan. Divided into two stages. The first stage is to use the literature to check the Systematic review, expert focus groups, Questionnaire, to establish malignant brain tumor clinical care guidelines. The second stage to take interventional research methods, from 2012-2016 twice a year for three wards neurosurgical new nursing staff for malignant brain tumor care guidelines for education and training by clinical teachers to teach the application guidelines to take care of malignant brain tumor patients, and the results Evaluation. Indicators of achievement: the professional ability of nurses, the average length of hospital stay
Results:
total of 30 new nurses were surveyed; since 2013, the implementation of the clinical guidelines was 100%. In 2016 use the Likert scale surveyed nurse professional growth of malignant tumors to agree with the degree of seven to for data collection and analysis： the cognitive 4.53 ± 0.51, the ability to respond 4.43 ± 0.63, communication ability 4.4 ± 0.6, the team communication 4.5 ± 0.1, to assist the family ability 4.43 ± 0.57, health education guidance 4.5 ± 0.51, reduce the psychological pressure 4.3 ± 0.53; Knowledge and team communication have a significant help, but for nurses and patients with psychological and mental stress to reduce the degree of moderate. In addition, the average length of hospital stay for the patients with malignant brain tumors was 15.5 ± 11.52 days from 2013 to 2016, which was lower than the average hospital stay of 20.99 days in Taiwan .
Conclusion:
This study shows that this empirical guideline is clinically effective; the future will be for the disease communication and stress relief measures to be further studied