甲状腺癌护理质量指标:范围审查
Kimia Ameri1, Michelle Kwon1, Akie Watanabe1
1Department of Surgery, St. Paul's Hospital & University of British Columbia, Vancouver, British Columbia, Canada.
American journal of surgery
|January 31, 2025
概括
这次审查确定了甲状腺癌护理的135个质量指标. 制定基于证据的清单有助于规范护理,改善患者的治疗结果.
科学领域:
- 内分泌学 在内分泌学.
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 甲状腺癌是最常见的内分泌恶性瘤.
- 甲状腺癌管理的实践模式是高度可变的.
- 最佳的护理需要标准化的质量指标 (QI).
研究的目的:
- 确定护理质量的定量和质量指标 (QI).
- 为最佳的甲状腺癌管理建立基本的QI.
- 为基于证据的实践提供信息,并改善患者的治疗结果.
主要方法:
- 进行了全面的范围审查.
- 搜索了MEDLINE,EMBASE,PubMed,以及科学网络.
- 在五个护理阶段确定了QI:诊断前,诊断,治疗,治疗后监测和终身护理.
主要成果:
- 包括36篇文章,产生了135个独特的QI.
- 主要的诊断QI:标准化超声波报告,细针吸收活检 (FNAB) 和贝塞斯达系统报告.
- 关键治疗QI:大容量手术甲状腺切除术,手术前语音评估和循环喉神经监测.
- 主要治疗后的QI:针对复发的血清甲状腺蛋白 (Tg) 监测.
结论:
- 基于证据的QI列表可以识别护理缺口.
- 有针对性的干预措施可以促进护理标准化.
- 提高标准化导致甲状腺癌患者的治疗结果更好.
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