Sharma A, Sharp D M, Walker L G, Monson J R T
Academic Surgical Unit, University of Hull, Hull, UK.
Colorectal Dis. 2008 Jan;10(1):63-8. doi: 10.1111/j.1463-1318.2007.01209.x.
Multidisciplinary teams (MDTs) are an integral part of the National Cancer Plan. However, there is surprisingly little empirical research on how these are perceived by colorectal surgeons (CRSs) and colorectal clinical nurse specialists (CNSs). The purpose of this study therefore was to obtain the views of a national cohort of CRSs and CNSs regarding various important aspects of MDT functioning and role of CNS in current setting.
Two hundred and fifty-three CRSs and 177 CNSs, identified from the Association of Coloproctologists of Great Britain and Ireland, responded to an ad hoc postal questionnaire.
96.5% of respondents considered that MDTs improved the overall quality of care of colorectal cancer patients, and 78.6% thought MDTs were good for their morale. Eighty per cent considered that they improved training. Seventy-three per cent of surgeons and nurses thought that MDTs were cost effective, and 89% did not consider them to be a passing fad. However, more than half (50.4%) of the CRSs and 35.2% of the CNSs stated that their job plan did not contain adequate time to attend MDT meetings. Compared with CRSs, CNSs were significantly more likely to have positive views regarding the MDT (P < 0.005).
CNSs and CRSs consider that colorectal MDTs have very beneficial effects on patient care, training and morale. However, many surgeons and nurse specialists consider that attendance at MDTs is not taken into account adequately in terms of their job plans, and this issue needs to be addressed.
多学科团队（MDTs）是国家癌症计划的一个组成部分。然而，令人惊讶的是，关于结直肠外科医生（CRSs）和结直肠临床护理专家（CNSs）如何看待这些团队的实证研究却很少。因此，本研究的目的是获取一组全国性的CRSs和CNSs对MDT运作的各个重要方面以及CNS在当前环境中的作用的看法。
从大不列颠及爱尔兰结直肠外科学会中识别出253名CRSs和177名CNSs，他们回复了一份特别邮寄问卷。
96.5%的受访者认为MDTs提高了结直肠癌患者的整体护理质量，78.6%的人认为MDTs对他们的士气有好处。80%的人认为MDTs改善了培训。73%的外科医生和护士认为MDTs具有成本效益，89%的人不认为它们是一时的风尚。然而，超过一半（50.4%）的CRSs和35.2%的CNSs表示，他们的工作计划中没有足够的时间参加MDT会议。与CRSs相比，CNSs对MDT的积极看法明显更多（P < 0.005）。
CNSs和CRSs认为结直肠MDTs对患者护理、培训和士气有非常有益的影响。然而，许多外科医生和护士专家认为，就他们的工作计划而言，参加MDT会议没有得到充分考虑，这个问题需要解决。
