通过嵌入式瘤息诊所模型,改善患有晚期胸部恶性瘤的患者获得早期息护理的机会
Julia L Agne1, Erin M Bertino2, Kelly Gast2
1Division of Palliative Medicine, The Ohio State University Wexner Medical Center, Columbus, OH.
JCO oncology practice
|June 6, 2023
概括
一个嵌入式息护理 (PC) 诊所改善了胸部癌症患者的早期接入. 这种模式增加了PC转诊和减少了等待时间,增强了护理整合,以获得更好的患者结果.
科学领域:
- 在瘤学瘤学.
- 抚慰性护理是一种缓解性护理.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 缓和护理 (PC) 与瘤学的早期整合对于开发创新的护理模式至关重要.
- 患有胸部恶性瘤的患者往往需要专门的息支持.
研究的目的:
- 评估嵌入式息护理诊所对胸部恶性瘤患者获得护理的影响.
- 为了比较门诊PC转诊率和在实施嵌入式诊所之前和之后的及时性.
主要方法:
- 追溯性研究比较了非小细胞肺癌和小细胞肺癌患者的两个队列.
- 通过独立诊所对嵌入式诊所进行门诊PC访问的分析.
- 对PC推和访问间隔的时间到事件分析.
主要成果:
- 嵌入式诊所显著增加了PC推 (20.9% vs 9.2%) 和推完成率 (57.6%至76.0%).
- 直接区域以外的患者的转诊量大幅增加 (4.0%至14.2%).
- 从提交命令到首次PC访问的中位时间从29天减少到20天.
结论:
- 实施嵌入式息护理模型可以提高患有胸部癌症的患者早期获得PC的机会.
- 这种模式提高了转诊完成率,并减少了启动息护理服务的延迟.
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