癌症康复综合计划：构建有效的癌症康复项目。
Wellness Beyond Cancer Program: building an effective survivorship program.
作者信息
Rushton M, Morash R, Larocque G, Liska C, Stoica L, DeGrasse C, Segal R
机构信息
University of Ottawa, Ottawa, ON;
The Ottawa Hospital Cancer Centre, Ottawa, ON.
出版信息
Curr Oncol. 2015 Dec;22(6):e419-34. doi: 10.3747/co.22.2786.
BACKGROUND
The Wellness Beyond Cancer Program (wbcp) was launched in 2012, first accepting patients with colorectal cancer (crc) and, subsequently, those with breast cancer (bca), with the aim of standardizing and streamlining the discharge process from our cancer centre. Patients are discharged either to the wbcp nurse practitioner or to their primary care provider (pcp). The program incorporates survivorship care plans (scps) and education classes; it also has a rapid re-entry system in case of recurrence. The objective of this paper is to describe the process by which a cancer survivorship program was developed at our institution and to present preliminary evaluation results.
METHODS
Qualitative surveys were mailed to patients and pcps 1 year after patients had been referred to the wbcp. The surveys addressed knowledge of the program content, satisfaction on the part of patients and providers, and whether scp recommendations were followed. Questions were scored on the level of agreement with each of a list of statements (1 = strongly disagree to 5 = strongly agree).
RESULTS
From March 2012 to November 2014, 2630 patients were referred to the wbcp (809 with crc, 1821 with bca). Surveys were received from 289 patients and 412 pcps. Patients and pcps gave similar scores (average: 4) to statements about satisfaction; pcps gave scores below 4 to statements about communication with the wbcp.
CONCLUSIONS
At 1 year after discharge, patients and pcps were satisfied with program content, but there is an opportunity to improve on communication and provision of cancer-specific information to the pcps. Using the wbcp to ensure a safe transition to the most appropriate health care provider, we have standardized the discharge process for crc and bca patients.
背景
“癌症康复计划”（wbcp）于2012年启动，最初接收结直肠癌（crc）患者，随后接收乳腺癌（bca）患者，目的是规范和简化我们癌症中心的出院流程。患者出院后要么转至wbcp的执业护士处，要么转至其初级保健提供者（pcp）处。该计划纳入了生存护理计划（scps）和教育课程；对于复发情况，它还设有快速重新入院系统。本文的目的是描述我们机构制定癌症生存计划的过程，并呈现初步评估结果。
方法
在患者被转介至wbcp一年后，向患者和初级保健提供者邮寄了定性调查问卷。这些调查涉及对计划内容的了解、患者和提供者的满意度，以及是否遵循了scp建议。问题根据与一系列陈述的同意程度进行评分（1 = 强烈不同意至5 = 强烈同意）。
结果
从2012年3月至2014年11月，2630名患者被转介至wbcp（809名患有crc，1821名患有bca）。共收到289名患者和412名初级保健提供者的调查问卷。患者和初级保健提供者对满意度陈述给出了相似的评分（平均：4）；初级保健提供者对与wbcp沟通的陈述给出了低于4分的评分。
结论
出院一年后，患者和初级保健提供者对计划内容感到满意，但仍有机会改善与初级保健提供者的沟通以及提供癌症特定信息。通过使用wbcp确保安全过渡到最合适的医疗保健提供者，我们已规范了crc和bca患者的出院流程。
Zotero 插件