一项针对头颈癌患者的综合护理计划对护理质量的影响。
Impact of an integrated care program for patients with head and neck cancer on the quality of care.
作者信息
Ouwens Mariëlle M M T J, Hermens Rosella R P M G, Hulscher Marlies M E J L, Merkx Matthias A W, van den Hoogen Frank J A, Grol Richard P, Wollersheim Hub C H, Marres Henri A M
机构信息
IQ Scientific Institute for Quality of Healthcare, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands.
出版信息
Head Neck. 2009 Jul;31(7):902-10. doi: 10.1002/hed.21041.
BACKGROUND
The management of patients with head and neck cancer is complex, and implementation of an integrated care program might improve the quality of care.
METHODS
A prospective before-after study was performed in 1 clinic for head and neck oncology on 311 adults with head and neck cancer to evaluate an integrated care program.
RESULTS
Scores on the integrated care indicators showed that the implementation of the integrated care program led to relevant improvements, eg, waiting time for diagnostic procedures less than 10 days (improvement of 37%), support for stopping smoking (+37%), nutrition support (+44%), assessment of CT and MRI scans by a an expert radiologist (+23%), and number of patients in contact with the specialist nurses (+37%). The program had no relevant effects on the outcome indicators.
CONCLUSION
An integrated care program can improve several aspects of the management of patients with head and neck cancer.
背景
头颈癌患者的管理较为复杂，实施综合护理计划可能会提高护理质量。
方法
在一家头颈肿瘤诊所对311名成年头颈癌患者进行了一项前瞻性前后对照研究，以评估综合护理计划。
结果
综合护理指标得分显示，综合护理计划的实施带来了相关改善，例如，诊断程序等待时间少于10天（改善37%）、戒烟支持（+37%）、营养支持（+44%）、由放射科专家评估CT和MRI扫描（+23%）以及与专科护士接触的患者数量（+37%）。该计划对结果指标没有相关影响。
结论
综合护理计划可以改善头颈癌患者管理的多个方面。
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