Jennings-Sanders Andrea, Anderson Elizabeth T
Jennie Sealy Hospital, Galveston, Texas 77555-0460, USA.
Nurs Outlook. 2003 May-Jun;51(3):108-14. doi: 10.1016/s0029-6554(03)00083-6.
There are many challenges that an older woman and her family face when diagnosed with breast cancer. Utilizing community-based nurse case managers may influence the older client and her family to adapt to the many challenges associated with the diagnosis and treatment of breast cancer.
The purpose of this qualitative study is to describe how older breast cancer clients perceive community-based nurse case managers. From findings generated, recommendations were developed to improve the practice of community-based nurse case managers.
A randomized prospective trial to evaluate the effect of nurse case management on the treatment of 106 older women with breast cancer provided data for this content analysis. Older women (>65 years of age) newly diagnosed with breast cancer cared for by 60 surgeons practicing at 13 community and 2 public hospitals in southeast Texas were invited to participate.
Community-based nurse case managers made a positive impact on older women with breast cancer by helping in managing coexisting medical conditions, providing support, providing education, giving assistance with activities of daily living (ADLs), and helping to navigate through the health care system. To increase their effectiveness, it was recommended that nurse case managers communicate well, be well educated about breast cancer, have standard gerontology nurse case management training, and integrate multiple support systems when caring for older clients with breast cancer.
There are unique challenges that an older woman and her family face when diagnosed with breast cancer. Utilizing community-based nurse case managers may influence the client and her family to adapt to the many challenges associated with the diagnosis and treatment of breast cancer. Community-based nurse case managers can make a positive difference on the outcomes of older women with breast cancer.
老年女性及其家人在被诊断出患有乳腺癌时面临诸多挑战。利用社区护士个案管理员可能会影响老年患者及其家人适应与乳腺癌诊断和治疗相关的诸多挑战。
本定性研究的目的是描述老年乳腺癌患者如何看待社区护士个案管理员。根据研究结果，制定了相关建议以改进社区护士个案管理员的工作。
一项随机前瞻性试验评估了护士个案管理对106名老年乳腺癌女性治疗的效果，为该内容分析提供了数据。邀请了得克萨斯州东南部13家社区医院和2家公立医院的60名外科医生所照顾的新诊断为乳腺癌的老年女性（>65岁）参与。
社区护士个案管理员通过帮助管理并存的医疗状况、提供支持、开展教育、协助日常生活活动以及帮助在医疗保健系统中导航，对老年乳腺癌女性产生了积极影响。为提高其有效性，建议护士个案管理员沟通良好、接受过乳腺癌方面的良好教育、接受标准的老年病学护士个案管理培训，并在照顾老年乳腺癌患者时整合多种支持系统。
老年女性及其家人在被诊断出患有乳腺癌时面临独特的挑战。利用社区护士个案管理员可能会影响患者及其家人适应与乳腺癌诊断和治疗相关的诸多挑战。社区护士个案管理员可以对老年乳腺癌女性的治疗结果产生积极影响。
