培训执业护士和医师助理进行筛查性乙状结肠镜检查。
Training of nurse practitioners and physician assistants to perform screening flexible sigmoidoscopy.
作者信息
Horton K, Reffel A, Rosen K, Farraye F A
机构信息
Division of Gastroenterology, Harvard Vanguard Medical Associates, Boston, USA.
出版信息
J Am Acad Nurse Pract. 2001 Oct;13(10):455-9. doi: 10.1111/j.1745-7599.2001.tb00005.x.
PURPOSE
To describe the colorectal cancer-screening program at Harvard Vanguard Medical Associates, a large multispecialty medical group, in which nurse practitioners (NPs) and physician assistants (PAs) perform screening flexible sigmoidoscopies.
DATA SOURCES
Scientific literature, consensus statements and guidelines, and the protocol utilized to train NPs and PAs to perform flexible sigmoidoscopy. Data from 9,500 screening procedures are presented.
CONCLUSIONS
In comparison with gastroenterologists, trained NP and PA endoscopists perform screening flexible sigmoidoscopy with similar accuracy and safety but at lower cost.
IMPLICATIONS FOR PRACTICE
Screening flexible sigmoidoscopy performed by NPs and PAs may increase the availability and lower the cost of flexible sigmoidoscopy for colorectal cancer screening.
目的
描述哈佛先锋医疗联盟（一个大型多专科医疗集团）的结直肠癌筛查项目，在该项目中执业护士（NPs）和医师助理（PAs）进行筛查性乙状结肠镜检查。
数据来源
科学文献、共识声明和指南，以及用于培训执业护士和医师助理进行乙状结肠镜检查的方案。呈现了来自9500例筛查程序的数据。
结论
与胃肠病学家相比，经过培训的执业护士和医师助理内镜医师进行筛查性乙状结肠镜检查时，准确性和安全性相似，但成本更低。
对实践的启示
由执业护士和医师助理进行的筛查性乙状结肠镜检查可能会提高乙状结肠镜检查用于结直肠癌筛查的可及性并降低成本。
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