一个金融毒性查和护理协调质量改进计划在妇科瘤城市实践
Tina Harris1, Julie Brinzo1, Christopher Pell2
1From University of North Georgia, Dahlonega, Georgia.
Journal of the advanced practitioner in oncology
|July 26, 2024
概括
金融毒性 (FT) 对癌症患者产生重大影响,一项质量改进项目表明,多学科教育和查有效地增加了护理协调的转诊. 年龄被确定为影响金融毒性成本的关键因素.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
- 患者倡导 患者倡导
背景情况:
- 金融毒性 (FT) 对新诊断的第三或第四阶段癌症患者构成重大挑战.
- 现有的护理缺口需要改进FT风险评估和管理的策略.
研究的目的:
- 为多学科团队实施关于FT风险,查和护理协调的教育计划.
- 提高FT查率和推人数,以协调资源护理.
- 评估FT与人口因素之间的关联.
主要方法:
- 一个质量改进项目 (QIP) 使用了计划-做-研究-行动 (PDSA) 模型.
- 专注于金融毒性综合评分 (COST) 和资源护理协调.
- 针对新诊断的患有III或IV期妇科癌症的患者.
主要成果:
- 61.90%的参与者有COST分数表明金融毒性.
- 100%的FT患者接受了资源护理协调的转诊.
- 年龄是FT COST分数的主要人口因素,解释了大约15%的观察到的变化.
结论:
- 一个与QIP-PDSA框架集成的多学科教育计划可以标准化FT查和护理协调.
- 该QIP成功识别了FT患者,并确保了及时的转诊,改善了护理协调.
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