Nielsen B B
Cancer Nurs. 1989 Oct;12(5):271-5.
Black women in Dade Country have a substantially higher proportion of advanced breast cancer at diagnosis than white women. To shift the stage at diagnosis from later to earlier, a Cancer Early Detection Program was initiated in the fall of 1987. This program involves screening with low-cost mammography, physical breast examination, and instruction in self-breast examination as well as general cancer education about prevention, early detection, and health promotion. The educational programs are presented in conjunction with the local unit of the American Cancer Society. A mobile mammography van travels to Primary Health Care Centers to provide mammograms to a population with limited access to preventive health care. This article describes the development and implementation of the program. It focuses on the responsibilities of an oncology nurse who coordinates and directs the program. Recommendations are made for ways oncology nurses can assume expanded roles in cancer screening/early detection.
戴德县的黑人女性在乳腺癌确诊时患有晚期乳腺癌的比例显著高于白人女性。为了将确诊阶段从晚期转变为早期，1987年秋季启动了一项癌症早期检测计划。该计划包括通过低成本的乳房X光检查、乳房体格检查、自我乳房检查指导以及关于预防、早期检测和健康促进的一般癌症教育进行筛查。教育计划与美国癌症协会的当地单位联合开展。一辆流动乳房X光检查车前往初级卫生保健中心，为获得预防性医疗保健机会有限的人群提供乳房X光检查。本文描述了该计划的制定和实施情况。它重点关注协调和指导该计划的肿瘤护士的职责。针对肿瘤护士如何在癌症筛查/早期检测中承担扩大的角色提出了建议。
