Skrutkowski Myriam, Saucier Andréanne, Eades Margaret, Swidzinski Marika, Ritchie Judith, Marchionni Caroline, Ladouceur Martin
Department of Nursing, McGill University Health Centre, Montreal, Canada.
Oncol Nurs Forum. 2008 Nov;35(6):948-54. doi: 10.1188/08.ONF.948-954.
PURPOSE/OBJECTIVES: To examine the impact on continuity of nursing care delivered by a pivot nurse in oncology to improve symptom relief and outcomes for patients with lung or breast cancer.
Randomized controlled trial in which participants were randomly assigned to an intervention group (n = 93) with care by a pivot nurse in oncology and usual care by clinic nurses or to a control group (n = 97) with usual care only.
Three outpatient ambulatory oncology clinics in a large university health center in Quebec, Canada.
113 patients with lung cancer and 77 patients with breast cancer.
Participants in both groups completed the Symptom Distress Scale, Brief Fatigue Inventory, and Functional Assessment of Cancer Therapy Scale-General version 4 at eight intervals over six months. Healthcare usage was evaluated through a review of hospital records.
Symptom distress, fatigue level, quality of life, and healthcare usage.
Researchers found no significant differences in symptom distress, fatigue, quality of life, and healthcare usage between groups.
The new nursing role did not have an impact on the patient outcomes under study.
Experienced nurses with specialized knowledge of oncology symptom assessment and management may reduce the symptom burden experienced by ambulatory patients with breast or lung cancer during active treatment.
目的/目标：探讨肿瘤专科枢纽护士提供护理连续性对改善肺癌或乳腺癌患者症状缓解情况及预后的影响。
随机对照试验，参与者被随机分配至干预组（n = 93），由肿瘤专科枢纽护士提供护理并由门诊护士提供常规护理，或分配至对照组（n = 97），仅接受常规护理。
加拿大魁北克一所大型大学健康中心的三家门诊肿瘤诊所。
113例肺癌患者和77例乳腺癌患者。
两组参与者在六个月内分八个时间点完成症状困扰量表、简明疲劳量表和癌症治疗功能评估量表通用版4。通过查阅医院记录评估医疗服务使用情况。
症状困扰、疲劳程度、生活质量和医疗服务使用情况。
研究人员发现两组在症状困扰、疲劳、生活质量和医疗服务使用方面无显著差异。
新的护理角色对所研究的患者预后没有影响。
具有肿瘤症状评估和管理专业知识的经验丰富护士，可能会减轻门诊乳腺癌或肺癌患者在积极治疗期间所经历的症状负担。
