由护士领导的决策咨询计划的开发,以改善肝细胞癌查:以类型学为导向的可行性研究
Caixia Li1, Xiling Lu2, Fei Gao2
1The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, China.
Asia-Pacific journal of oncology nursing
|June 12, 2023
概括
一个由护士领导的新计划改善了B型肝炎患者肝细胞癌 (HCC) 查. 这种干预措施解决了障碍,促进了早期检测,并在高流行地区取得更好的结果.
科学领域:
- 肝细胞癌 (HCC) 研究研究
- 预防性瘤学预防性瘤学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 肝细胞癌 (HCC) 往往是在晚期被诊断出来的,这限制了治疗的有效性.
- 建议基于超声波的HCC查,但未得到充分利用,特别是在乙型肝炎患者中.
- 晚期诊断HCC有助于患者的不良结果和增加医疗保健负担.
研究的目的:
- 开发和评估由护士领导的决策咨询计划,以提高乙型肝炎患者的HCC查吸收率.
- 评估干预的可行性,考虑过程,资源,管理和文化接受.
- 在乙型肝炎阳性人群中识别和解决HCC查的障碍.
主要方法:
- 这项由护士主导的计划是使用医学研究理事会框架和预防性健康模型开发的.
- 一项可行性研究涉及20名B型肝炎患者,随机分配到干预加常规护理或仅常规护理.
- 数据收集包括采访,现场笔记和与参与者和专家的讨论.
主要成果:
- 该计划包括健康教育,定制信息,价值观澄清和障碍探索.
- 可行性评估揭示了并帮助克服了过程问题和文化挑战,如不信任和保密问题.
- 文化障碍包括不愿讨论查和集体主义文化中的社会影响.
结论:
- 该研究引入了护理干预的新可行性类型学.
- 开发的计划是有希望的,可行的,在文化上是敏感的,用于改善HCC查.
- 这种干预措施有可能减少中国和其他亚洲国家的乙型肝炎诱导的HCC的晚期诊断.
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