在第三级癌症中心嵌入AMBER护理包的可行性,可持续性和影响
Claire Cadwallader1, Helen Wong2, Daniel Monnery3
1Palliative care clinical nurse specialist, Clatterbridge CC NHS Foundation Trust, Liverpool, UK.
International journal of palliative nursing
|June 19, 2025
概括
珀护理包改善了有关癌症患者不确定的康复的沟通. 这种方法在三级癌症中心是可行的和有效的,提高了患者的治疗结果和首选死亡地点.
科学领域:
- 在瘤学瘤学.
- 抚慰性护理是一种缓解性护理.
- 医疗保健实施科学 医疗保健实施科学
背景情况:
- 珀护理包 (ABC) 支持关于不确定的恢复的早期对话.
- 虽然在急性护理中得到验证,但ABC在三级癌症环境中的使用是未经记录的.
研究的目的:
- 评估将AMBER护理包整合到三级癌症中心的可行性和影响.
主要方法:
- 从2020年开始,在第三级癌症中心实施ABC.
- 利用滚动教育,数字工具和临床领导力.
- 在培训前和培训后收集的关于沟通不确定性的信心数据.
- 患者在基线和实施后3年的结果进行了比较.
主要成果:
- 医疗保健专业人员在讨论不确定性时的信心显著改善 (P<0.01).
- 患者结局的显著改善,包括首选死亡地点 (8%到80%在3年内).
结论:
- 珀护理包是第三级癌症环境中可行的和有效的干预措施.
- 实施增强了沟通,并改善了以患者为中心的关键结果.
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