在癌症中心加强支持性护理:全国跨部门调查
Rachel Moya Helen Caulfield1,2, Lucy E Selman3, Jane Gibbins4
1Population Health Sciences, Bristol Medical School, Bristol, UK.
BMJ supportive & palliative care
|March 12, 2024
概括
增强的支持性护理 (ESC) 可能会导致更早的患者转诊和更好的与瘤团队的整合. 然而,专业息护理 (SPC) 和ESC的术语仍然不清楚.
科学领域:
- 在瘤学瘤学.
- 抚慰性护理是一种缓解性护理.
- 医疗保健提供 医疗保健提供
背景情况:
- 早期专业息治疗 (SPC) 可以改善晚期癌症患者的治疗结果,但转诊往往会延迟.
- 增强的支持性护理 (ESC) 旨在更早地为患有无法治愈的癌症的患者整合支持性护理.
研究的目的:
- 探索临床医生对ESC/SPC的理解和当前的服务提供.
- 描述ESC和SPC目前如何在癌症中心提供.
主要方法:
- 一项针对53个癌症中心的全国横截面调查.
- 两个部分:服务配置细节和临床医生对ESC/SPC目标的理解.
- 定量分析 (费舍尔的精确测试) 和定性自由文本编码.
主要成果:
- 与非ESC团队相比,ESC团队报告说,与瘤学的整合程度更高 (例如,共同讨论病例).
- ESC参与与潜在的更及时的患者转诊有关.
- 定性数据显示了息护理术语的模两可,以及患者早期与ESC认同的感知.
结论:
- 与非ESC团队相比,ESC提供者感知到更好的整合和更及时的转介.
- 专业息护理 (SPC) 和增强型支持护理 (ESC) 的术语不确定性在整个英格兰仍然存在.
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