Swanson Jay, Koch Lisa
Saint Elizabeth Regional Medical Center, Lincoln, NE, USA.
Oncol Nurs Forum. 2010 Jan;37(1):69-76. doi: 10.1188/10.ONF.69-76.
PURPOSE/OBJECTIVES: To determine whether the oncology nurse navigator (ONN) role as an intervention decreases the distress of adult inpatients with cancer.
Retrospective chart review was used to collect information about patient distress scores at admission and discharge. Scores were compared to determine whether the ONN role is effective in lowering patients' distress levels.
261-bed regional medical center in the midwestern United States.
Convenience sample of 55 inpatients with diagnoses of cancer.
Nurses asked patients with cancer to rate their distress daily during their stays. Correlation studies and two-tailed t tests were used to assess the relationship between the change in distress and the ONN intervention.
Distress scores of patients seen by the ONN versus distress scores of patients not seen by the ONN.
Patients seen by the ONN tended to have lower distress scores on dismissal (p = 0.1046). The difference was clinically significant to warrant providing an ONN for patient distress. ONN visits have a statistically significant effect on distress scores of inpatients 65 years of age or younger (p = 0.044) and those from rural settings (p = 0.045).
An ONN can lower patients' cancer-related distress scores. Other research has shown that ONNs can help increase patient satisfaction; this research shows that the satisfaction may be related to a decrease in distress and increase in overall quality of life.
Patients experience high distress levels that can interfere with treatment compliance. This research shows that patients benefit from having an ONN to answer their questions and provide them with education about their diseases.
目的/目标：确定肿瘤护士导航员（ONN）作为一种干预措施是否能减轻成年癌症住院患者的痛苦。
采用回顾性病历审查来收集患者入院和出院时痛苦评分的信息。比较评分以确定ONN角色在降低患者痛苦水平方面是否有效。
美国中西部一家拥有261张床位的地区医疗中心。
55名确诊为癌症的住院患者的便利样本。
护士要求癌症患者在住院期间每天对自己的痛苦程度进行评分。采用相关性研究和双侧t检验来评估痛苦程度变化与ONN干预之间的关系。
ONN看护的患者的痛苦评分与未由ONN看护的患者的痛苦评分。
由ONN看护的患者在出院时痛苦评分往往较低（p = 0.1046）。这种差异在临床上具有显著意义，足以证明应为患者痛苦问题配备ONN。ONN探访对65岁及以下住院患者（p = 0.044）和农村地区患者（p = 0.045）的痛苦评分有统计学上的显著影响。
ONN可以降低患者与癌症相关的痛苦评分。其他研究表明，ONN有助于提高患者满意度；本研究表明，满意度可能与痛苦减轻和总体生活质量提高有关。
患者经历的高痛苦水平可能会干扰治疗依从性。本研究表明，患者受益于有ONN来回答他们的问题并为他们提供有关疾病的教育。
