临床医生对在社区瘤实践中提供初级和专业息治疗的观点
Laurie E McLouth1,2,3, Tia Borger4,5, Michael Hoerger6,7
1Department of Behavioral Science, University of Kentucky College of Medicine, 760 Press Avenue, 467 Healthy Kentucky Research Building, Lexington, KY, USA. Laurie.mclouth@uky.edu.
概括
农村地区的社区瘤学家往往缺乏有关息治疗的知识,并面临转诊障碍. 赋予患者权力要求转诊是改善晚期肺癌患者护理的关键.
科学领域:
- 在瘤学瘤学.
- 抚慰性护理是一种缓解性护理.
- 农村卫生 农村卫生
背景情况:
- 临床指南主张在晚期肺癌中提供早期息治疗.
- 农村和服务不足的地区面临着对初级和专业息治疗的资源限制.
- 整合息护理对于解决患者综合需求至关重要.
研究的目的:
- 描述社区瘤学临床医生的初级息护理实践.
- 探索在农村环境中为晚期肺癌患者整合专业息护理的前景.
- 识别缓和护理整合的障碍和促进者.
主要方法:
- 在肯塔基州的15个农村社区瘤实践中对47名临床医生进行了调查.
- 收集关于息护理实践,知识,障碍和促进者的数据.
- 专注于为主要农村人口服务的临床医生.
主要成果:
- 超过70%的临床医生经常讨论症状和功能,但不到一半的临床医生讨论了预后.
- 大约30%的人对息治疗有误解.
- 关键的障碍包括患者信息问题 (77%) 和预约负担 (53%);患者发起的转诊是一个强有力的促进者 (93.6%).
结论:
- 教育举措是必要的,以澄清息治疗对瘤临床医生的作用.
- 赋予患者权力要求息治疗转诊至关重要.
- 需要标准化的评估,文档和推流程.
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