所有的手在甲板上:在年轻成年人瘤学中提供护理的新型合作模式
Julie S W Childers1,2, Jacob N Stein1,3, Catherine Swift1
1Lineberger Comprehensive Cancer Center, Chapel Hill, North Carolina, USA.
Journal of adolescent and young adult oncology
|April 28, 2025
概括
一个新的跨学科团队通过整合医疗瘤学,息治疗和社会工作,改善了患有肉瘤的年轻成年人的护理. 这种模式增强了沟通,目标一致的护理,并为这种独特的患者群体提供支持.
科学领域:
- 在瘤学瘤学.
- 抚慰性护理是一种缓解性护理.
- 社会工作 社会工作 社会工作
- 青少年和年轻人的医学 (AYA)
背景情况:
- 患有癌症,特别是肉瘤的年轻人 (YA) 是一个脆弱的人群,有着未得到满足的需求.
- 亚洲的肉瘤与高症状负担和不良预后有关,需要专门的护理.
- 现有的干预措施对于这个独特的群体来说是有限的,这凸显了支持性护理方面的差距.
研究的目的:
- 增强对患有肉瘤的亚年人提供符合目标的护理.
- 改善临床医生,患者和家人之间的沟通.
- 为医疗保健专业人员提供教育和支持,为患有癌症的YA服务.
主要方法:
- 建立了一个跨学科的团队,整合了医疗瘤学,息治疗和社会工作.
- 进行了联合患者访问,以使心理社会和息支持正常化.
- 利用代评估来追踪症状和心理社会需求,重新审视护理目标.
- 实施两周一轮的患者护理共享方法,并进行了回顾性图表抽象.
主要成果:
- 该团队在2020-2022年间照顾了56名患有肉瘤的年轻人,76%患有转移性疾病.
- 患者与社会工作有着显著的参与 (平均每人每年) 6个接触点),缓和护理 (平均 8次访问),以及医疗瘤学 (平均. 14次访问) 的情况.
- 高级护理规划 (ACP) 文档的数量大幅增加.
结论:
- 一个功能性的跨学科的团队为YAs与肉瘤可以建立在最小的资源和工作流变化.
- 这种协作模式是可持续的,可以适应其他癌症类型和护理环境.
- 该干预成功改善了对患有肉瘤的年轻成年人的护理和支持.
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