"协调多学科护理模型"的构建和应用在基于QCC的激进囊切除术的老年患者中
Yingxia Luo1, Yirong Wang2, Ying Shan3
1Department of Urology, Zhujiang Hospital of Southern Medical University, Guangzhou, China.
Asia-Pacific journal of oncology nursing
|July 18, 2025
概括
使用质量控制圈 (QCC) 方法的新型多学科护理模式显著改善了接受激进囊切除术的老年患者的生活质量和出院准备,增强了老年护理.
科学领域:
- 老年医学 老年医学
- 手术瘤学手术瘤学
- 质量改进方法 质量改进方法
背景情况:
- 膀癌的激进囊切除术对老年患者来说是一个独特的挑战.
- 优化多学科护理对于改善这一人口群体的结果至关重要.
- 质量控制圈 (QCC) 方法提供了一个结构化的方法来增强患者护理流程.
研究的目的:
- 开发和评估使用QCC方法的多学科护理模型,用于接受激进囊切除术的老年患者.
- 评估QCC模型对患者生活质量和出院准备度的影响.
- 在QCC框架内确定具体干预措施的有效性.
主要方法:
- 采用了比较性研究设计,比较了激进囊切除术患者的实施前和后组.
- 该QCC团队实施了案例经理领导的协作团队,护理信息平台,分层整体护理协议和基于证据的转诊系统.
- 用FACT-Bl尺度,出院准备评估和住院时间来衡量患者的结果.
主要成果:
- 实施后,在FACT-Bl尺度的所有维度 (P <0.05),特别是功能和情感福祉方面,观察到显著的改善.
- 膀癌特异性分级和FACT-Bl总分数显示显著增加 (P < 0.001).
- 出院准备率显著提高7.95% (P = 0.001),而住院时间在各组之间保持了可比性.
结论:
- 基于QCC的多学科护理模式有效地提高了老年患者的生命质量和退院准备度,这些老年患者进行了激进囊切除术后.
- 该模型提供了一个可转移的框架,用于优化各种临床环境中的老年护理.
- 该研究强调了结构化质量改进方法在改善患者结果方面的价值.
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