改善患者报告的癌症周围手术治疗结果的跨学科干预措施:随机对照试验的系统审查
Bhagvat J Maheta1,2, Nainwant K Singh1,3, Karl A Lorenz1,4
1VA Center for Innovation to Implementation, Menlo Park, CA, United States of America.
PloS one
|November 20, 2023
概括
跨学科团队通过专注于患者教育,护理人员参与和随访来改善癌症护理. 这些干预措施增强了癌症患者在外科手术期间患者报告的结果.
科学领域:
- 在瘤学瘤学.
- 手术护理 手术护理
- 患者的治疗结果.
背景情况:
- 跨学科团队在外科手术期间提高癌症护理质量.
- 确定有效的团队结构和流程对于改善患者的治疗结果至关重要.
研究的目的:
- 确定跨学科的团队结构和流程,以改善癌症患者的术后患者报告结果.
- 综合了随机对照试验中关于癌症护理跨学科干预措施的研究结果.
主要方法:
- 来自PubMed,EMBASE和CINAHL的随机对照试验的系统审查.
- 包括专注于术后癌症治疗和患者报告结果的研究.
- 干预组件,团队角色和流程的叙述综合.
主要成果:
- 包括34项研究 (4,722名参与者);31项显示患者报告结果的临床上有意义的改善.
- 常见的角色包括患者教育 (诊断,治疗,应对,疼痛/症状管理) 和术后随访.
- 有效的干预措施包括长期临床团队接触 (≥6个月) 和护理人员参与.
结论:
- 未来的干预措施应支持临床团队在患者教育,护理人员参与和临床随访方面的角色.
- 优化跨学科团队策略可以提高术后癌症护理的质量.
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