改善青少年和年轻成人癌症的支持性和息性护理整合
1Department of Palliative Care, Liverpool Hospital, Sydney, Australia.
Journal of adolescent and young adult oncology
|October 25, 2023
概括
整合青少年和年轻成人 (AYA) 癌症患者的支持性和息性护理 (SPC) 改善了获得和结果. 一个新的AYA支持性和息性护理 (AYASPC) 服务成功增加了转诊和临床医生的信心.
科学领域:
- 在瘤学瘤学.
- 抚慰性护理是一种缓解性护理.
- 医疗保健管理的管理
背景情况:
- 支持性和息性护理 (SPC) 的整合对于青少年和年轻成人 (AYA) 癌症患者至关重要,但面临实施障碍.
- 利物浦癌症治疗中心 (LCTC) 缺乏专门的AYA服务,这导致SPC对这一群体的参与最小.
- 新成立的AYA支持性和息性护理 (AYASPC) 服务旨在解决这些差距并改善患者的福祉.
研究的目的:
- 在六个月内将AYASPC的转诊数量从每月的基线增加到每月的四个.
- 为了提高临床医生对AYA癌症患者SPC转诊的信心.
- 促进文化转变,以承认和倡导专门的AYA护理.
主要方法:
- 在六个月内实施质量改进项目.
- 制定一个明确的AYASPC转诊途径,并提供广泛的指示.
- 临床医生教育整体AYA护理,AYASPC护理模式 (MoC) 和转诊福利.
主要成果:
- 在项目期间实现了27次AYASPC转诊,在三个月后始终超过基线和项目目标.
- 在不同癌症类型和预后的护理轨迹 (29.6%在诊断时) 中,转诊是在早期进行的.
- 增加了临床医生对支持AYA和进行SPC转诊的信心,转诊解决了更广泛的需求.
结论:
- AYASPC服务的适应性MOC和项目干预措施可持续地增强了AYA癌症患者的SPC访问.
- 在短时间内实现了AYA护理和宣传的积极文化转变.
- 这些干预措施证明了专门的AYA支持性和息性护理服务的可行性和影响.
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