Conway Steven, Balfour-Lynn Ian M, De Rijcke Karleen, Drevinek Pavel, Foweraker Juliet, Havermans Trudy, Heijerman Harry, Lannefors Louise, Lindblad Anders, Macek Milan, Madge Sue, Moran Maeve, Morrison Lisa, Morton Alison, Noordhoek Jacquelien, Sands Dorota, Vertommen Anneke, Peckham Daniel
Paediatric and Adult CF Units, Leeds Teaching Hospitals Trust, UK.
Royal Brompton Hospital, Sydney Street, London, UK.
J Cyst Fibros. 2014 May;13 Suppl 1:S3-22. doi: 10.1016/j.jcf.2014.03.009.
A significant increase in life expectancy in successive birth cohorts of people with cystic fibrosis (CF) is a result of more effective treatment for the disease. It is also now widely recognized that outcomes for patients cared for in specialist CF Centres are better than for those who are not. Key to the effectiveness of the specialist CF Centre is the multidisciplinary team (MDT), which should include consultants, clinical nurse specialist, microbiologist, physiotherapist, dietitian, pharmacist, clinical psychologist, social worker, clinical geneticist and allied healthcare professionals, all of whom should be experienced in CF care. Members of the MDT are also expected to keep up to date with developments in CF through continued professional development, attendance at conferences, auditing and involvement in research. Specialists CF Centres should also network with other Centres both nationally and internationally, and feed Centre data to registries in order to further the understanding of the disease. This paper provides a framework for the specialist CF Centre, including the organisation of the Centre and the individual roles of MDT members, as well as highlighting the value of CF organisations and disease registries.
囊性纤维化(CF)患者连续出生队列的预期寿命显著增加是该疾病治疗更有效的结果。现在人们也普遍认识到,在专业CF中心接受治疗的患者的治疗效果要优于未在专业CF中心接受治疗的患者。专业CF中心有效性的关键是多学科团队(MDT),该团队应包括顾问、临床护理专家、微生物学家、物理治疗师、营养师、药剂师、临床心理学家、社会工作者、临床遗传学家和相关医疗保健专业人员,他们都应在CF护理方面经验丰富。MDT成员还应通过持续专业发展、参加会议、审核和参与研究来跟上CF领域的发展。专业CF中心还应在国内和国际上与其他中心建立联系,并将中心数据提供给登记处,以加深对该疾病的了解。本文提供了一个专业CF中心的框架,包括中心的组织架构和MDT成员的个人角色,同时强调了CF组织和疾病登记处的价值。