实施护士主导的查诊所,用于症状困扰,为癌症幸存者提供基于社区的转诊:可行性研究
Wendy Wing Tak Lam1,2, Danielle W L Ng1,2, Richard Fielding1,2
1Centre for Psycho-Oncology Research and Trainig, Division of Behavioural Sciences, School of Public Health, LKS Faculty of Medicine, The University of Hong Kong, Hong Kong, SAR, China.
Psycho-oncology
|December 4, 2023
概括
在瘤诊所中,护士领导的症状应急查 (SDS) 计划是可行的,查和转诊的接受率很高. 这项计划有效地减少了癌症幸存者的症状痛苦.
科学领域:
- 瘤科 护理 护理专业
- 实施科学 实施科学
- 患者支持服务服务.
背景情况:
- 治疗后的癌症护理往往涉及管理持续的症状困扰.
- 将症状查整合到常规门诊中提出了实施挑战.
- 护士主导的干预对于有效的患者管理至关重要.
研究的目的:
- 评估护士领导的查症状困境 (SDS) 计划在瘤治疗后诊所的可行性.
- 评估患者对SDS和社区心理社会支持服务的接受程度.
- 确定这些服务对减轻症状痛苦的影响.
主要方法:
- 一个前性的,单臂的,务实的实施研究.
- 使用修改后的埃德蒙顿症状评估系统 (ESAS-r) 进行查.
- 3个月和9个月重新评估患者的症状管理计划.
主要成果:
- 80%的符合条件的患者同意SDS;32%的查结果为中度至重度症状困扰呈阳性.
- 69%的患有症状困扰的患者接受了心理社会支持服务的转诊.
- 随着时间的推移,ESAS-r得分显著改善,56.1%的人在9个月内从症状困扰中恢复过来.
结论:
- 护士主导的SDS项目具有明确的转诊途径,在癌症护理中是可行的和可以接受的.
- 这些计划表明,在治疗后的癌症患者中,有潜力减少症状困扰.
- 需要进一步的研究来优化SDS实施和转介策略.
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