一个基于社区的高级护士执业人员领导的综合瘤护理模式,用于接受口服抗癌药物的成年人:试点研究
Janice P Richmond1, Mary Grace Kelly2, Alison Johnston2
1Letterkenny University Hospital, Donegal, Ireland. janicep.richmond@hse.ie.
Pilot and feasibility studies
|February 29, 2024
概括
一项试点研究发现,由高级护士执业人员 (ANP) 为口服抗癌药物 (OAM) 提供社区护理是安全和可行的. 这种综合性瘤护理模式对患者和工作人员来说是可以接受的,因此需要进一步的试验.
科学领域:
- 在瘤学瘤学.
- 护理实践 护理实践
- 医疗保健服务研究 医疗服务研究
背景情况:
- 口服抗癌药物 (OAM) 的使用越来越多,提供方便,但通常需要在医院进行专家审查.
- 目前对OAM的医院评估限制了潜在的患者利益和医院容量增长.
- 在社区中,先进的护士实践者 (ANP) 领导的模型可以解决这些局限性.
研究的目的:
- 试点一个以社区为基础,由ANP领导的综合瘤护理模式,用于接受OAM的成年人.
- 通过评估患者的安全性,可接受性和成本来评估最终试验的可行性.
- 确定该模型在爱尔兰医疗保健环境中的可行性.
主要方法:
- 一个单一中心的试点研究涉及37名患者,他们在社区环境中接受OAMs超过4个月.
- 护理是由ANP提供,重点是综合瘤护理.
- 收集关于患者安全,可接受性 (患者和工作人员) 和医疗保健成本的数据.
主要成果:
- 由ANP领导的干预被发现是安全的,对患者和医疗保健工作人员来说都是非常可接受的.
- 观察到高的患者同意率和最小的消耗率 (仅出于临床原因).
- 该模型表明,相关的医疗保健成本可以有效地被捕获.
结论:
- 基于社区的,ANP领导的OAM患者综合瘤护理模式是可行的.
- 这项试点研究的积极结果支持了最终试验的必要性.
- 这种模式有可能提高患者的便利性,并优化医院的容量.
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