实施一个积极的护理途径,以赋权和支持乳腺癌幸存者
Maria Alice Franzoi1, Lena Degousée2, Elise Martin1,3
1Cancer Survivorship Group, INSERM Unit 981, Gustave Roussy, Villejuif, France.
JCO oncology practice
|June 12, 2023
概括
一个新的积极的生存护理途径改善了早期乳腺癌患者的满意度. 多学科的方法,包括个性化计划和教育,有效地支持了幸存者的需求.
科学领域:
- 在瘤学瘤学.
- 患者护理 患者护理
- 医疗保健服务研究 医疗服务研究
背景情况:
- 对乳腺癌早期患者来说,最佳的生存护理至关重要.
- 现有的护理模式往往不足以提供全面的支持.
- 患者赋权和获得多学科护理是解决幸存者需求的关键.
研究的目的:
- 为早期乳腺癌患者实施和评估积极的幸存者护理途径.
- 加强患者赋权和支持性护理策略的采用.
- 评估患者的满意度和路径组件的感知有用性.
主要方法:
- 使用 RE-AIM (覆盖范围,有效性,采用,实施和维护) 框架进行混合方法的过程评估.
- 路径组件包括个性化的幸存者护理计划 (SCP),教育研讨会,移动应用程序和医生决策辅助工具.
- 数据收集包括行政记录,患者/医生/组织调查和重点小组.
主要成果:
- 在6个月的时间里,321名患者有资格参加;98人 (30%) 参加过渡日研讨会.
- 患者对整体治疗途径的满意度很高 (96.1%).
- 感知到的有用性有所不同:过渡日 (90%),SCP (64.8%) 和移动应用 (65.2%).
结论:
- 患者对主动的幸存者护理途径表示高度满意.
- 该途径的组成部分被认为是对支持幸存者的需求有用的.
- 结果可以指导在其他医疗机构实施类似的幸存者护理途径.
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