在电话选期间实施经过验证的多症状评估工具,以减少瘤病人的急诊室访问
1From Aspen University, Phoenix, Arizona.
Journal of the advanced practitioner in oncology
|January 13, 2025
概括
在瘤分类诊所实施MD Anderson症状清单 (MDASI) 工具减少了急诊室的访问. 像MDASI这样的患者报告结果工具可以改善症状管理和患者对适当护理利用的理解.
科学领域:
- 在瘤学瘤学.
- 提高质量 提高质量
- 患者报告的结果
背景情况:
- 癌症治疗会引起副作用,导致急诊室 (ER) 的访问.
- 分离诊所 (TC) 管理症状并减少ER利用率.
- 患者报告结果 (PRO) 工具提高了症状管理,减少了急诊室访问.
研究的目的:
- 评估MD Anderson症状清单 (MDASI) 工具对门诊瘤诊所急诊室访问的影响.
- 确定MDASI的实施是否减少了急诊室的访问和住院.
主要方法:
- 在TC的电话分拣过程中实施了MDASI工具.
- 在实施前和之后收集了关于急救诊所和住院住院的数据.
- 使用统计学意义 (p < .05) 分析的数据.
主要成果:
- 在统计学上显著地减少了ER访问的6.8个百分点 (p = .008).
- 住院病例的统计显著增加4% (p = .006),这表明适当的ER利用率有所改善.
- MDASI促进了早期症状评估,并确定了患者知识上的差距.
结论:
- MDASI工具有效地支持早期症状评估和管理.
- PRO工具使患者能够解释症状,增强沟通,减少不必要的急救诊所访问.
- 在TC中实施PRO工具是瘤护理中一个有价值的质量改进策略.
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