Int J Gynecol Cancer. 2018 May;28(4):802-807. doi: 10.1097/IGC.0000000000001220.
Quality of preoperative and postoperative care is crucial to improve postoperative outcome of cancer surgery and to ensure that neither complications nor a poor general condition delays any subsequent radiochemotherapy or recovery. On this background, the Danish Gynecological Cancer Database (DGCD) established a nursing database in 2011. The aim of DGCD Nursing is to monitor the quality of preoperative and postoperative care and to generate data for research.
In accordance with the current data protection legislation, real-time data are entered by clinical nurses at all national cancer centers. The DGCD Nursing includes data of preoperative and postoperative care, and nurses are independently represented in the steering committee. The aim of the present article is to present the first results from DGCD Nursing and the national care improvements that have followed.
With national coverage of an average of 94%, 5726 patients have been registered since 2011. In patients undergoing surgery for ovarian, endometrial, and cervical cancer, 436 different variables monitor central preoperative and postoperative care elements within mobilization, nutritional status, pain score, vital functions, and psychosocial support.
At national level, DGCD offers a comprehensive overview of the total patient pathway within gynecological cancer surgery. The DGCD Nursing has added to the quality and implementation of evidence-based preoperative and postoperative care and in addition supported formation of professional networks. With a continued validation of data, DGCD Nursing now constitutes a sound and unique basis for research within the field of preoperative and postoperative cancer care.
术前和术后护理的质量对于改善癌症手术的术后结果至关重要，并确保没有并发症或一般状况不佳延迟任何后续的放化疗或恢复。在此背景下，丹麦妇科癌症数据库（DGCD）于 2011 年建立了一个护理数据库。DGCD 护理的目的是监测术前和术后护理的质量，并为研究生成数据。
根据当前的数据保护法规，临床护士实时在所有国家癌症中心输入数据。DGCD 护理包括术前和术后护理的数据，并且护士在指导委员会中独立代表。本文的目的是介绍 DGCD 护理的首批结果以及随之而来的全国护理改善措施。
自 2011 年以来，DGCD 护理已覆盖全国，平均覆盖率为 94%，已登记了 5726 名患者。在因卵巢癌、子宫内膜癌和宫颈癌接受手术的患者中，436 个不同变量监测着围手术期的中央术前和术后护理要素，包括动员、营养状况、疼痛评分、生命体征和心理社会支持。
在全国范围内，DGCD 提供了妇科癌症手术中患者总路径的全面概述。DGCD 护理增加了基于证据的术前和术后护理的质量和实施，并支持了专业网络的形成。随着数据的持续验证，DGCD 护理现在构成了术前和术后癌症护理领域研究的可靠且独特的基础。
