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癌症生存护理模式:针对乳腺癌患者的由执业护士主导的干预措施的开发与实施

Survivorship Model of Care: Development and Implementation of a Nurse Practitioner-Led Intervention for Patients With Breast Cancer
.

作者信息

Post Kathryn E, Moy Beverly, Furlani Catherine, Strand Elizabeth, Flanagan Jane, Peppercorn Jeffrey M

机构信息

Massachusetts General Hospital Cancer Center.

Boston College.

出版信息

Clin J Oncol Nurs. 2017 Aug 1;21(4):E99-E105. doi: 10.1188/17.CJON.E99-E105.

DOI:10.1188/17.CJON.E99-E105
PMID:28738044
Abstract

BACKGROUND: Despite a call for action to improve survivorship care, no optimal model of care exists. 
.

OBJECTIVES: To develop and evaluate the feasibility of a nurse practitioner (NP)-led model of care for survivorship visits after initial therapy. 
.

METHODS: Patients received an NP-led survivorship bridge visit (NPSBV) following treatment for early-stage breast cancer. A cross-sectional survey was used to evaluate responses to the NPSBV and patient satisfaction with care. Satisfaction with usual care was evaluated in a comparison of patient groups. Differences were assessed with a chi-square test or Fisher's exact test.
.

FINDINGS

Of 166 surveys, 118 were returned. The NPSBV met feasibility with a high attendance rate and had high acceptability and satisfaction rates. NPSBV patients were more likely to report that their team always cared as much as they did about their health compared to controls. Most patients would recommend the NPSBV to others.

摘要

背景

尽管呼吁采取行动改善癌症生存护理,但尚无最佳护理模式。

目的

开发并评估由执业护士主导的初始治疗后癌症生存随访护理模式的可行性。

方法

早期乳腺癌患者在接受治疗后接受了由执业护士主导的癌症生存过渡性随访(NPSBV)。采用横断面调查来评估对NPSBV的反应以及患者对护理的满意度。通过比较患者组来评估对常规护理的满意度。采用卡方检验或费舍尔精确检验评估差异。

结果

在166份调查问卷中,回收了118份。NPSBV以高出席率达到了可行性,并且具有高接受率和满意度。与对照组相比,接受NPSBV的患者更有可能报告其团队始终像他们自己一样关心其健康。大多数患者会向他人推荐NPSBV。

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