应对癌症护理中的困境:通过综合协作护理,增加对精神瘤学服务的获取
Arwa Aburizik1,2,3, Trisha L Raque4, Nathen Spitz2
1Department of Internal Medicine, University of Iowa Hospitals & Clinics, Iowa City, Iowa, USA.
Psycho-oncology
|September 19, 2023
概括
协作护理模式显著增加了患有癌症患者的精神瘤学服务的转诊率. 这种方法增强了对中度至高心理社会困扰的人的支持,改善了全人癌症护理.
科学领域:
- 在瘤学瘤学.
- 心理社会护理 心理社会护理
- 医疗保健提供模式 医疗保健提供模式
背景情况:
- 癌症患者的整体人体护理正受到越来越多的关注.
- 对患癌症患者的协作护理的实证研究是有限的.
- 识别和服务高度痛苦的癌症患者仍然是一个挑战.
研究的目的:
- 用实验来测试一个协作护理计划的有效性.
- 评估对精神瘤学服务的转诊率的影响.
- 为了评估中度至高痛苦的患者的结果.
主要方法:
- 分析了11,467名成年癌症患者的数据.
- 在干预前和后进行心理社会困扰的查.
- 在干预之前,干预期间和干预后心理社会转诊率的比较.
主要成果:
- 患有高压力的患者随着时间的推移显著增加了转诊的几率.
- 与低危险患者相比,转诊的几率从3.76倍增加到7.62倍.
- 随着时间的推移,观察到的转诊率的差异在统计学上是显著的 (p=0.04).
结论:
- 协作护理模式可以显著增加患有癌症患者的精神瘤学转诊.
- 在癌症中心成功实施,改善了对复杂患者的护理.
- 这支持了越来越多的合作护理在管理复杂的医疗需求的证据.
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