多学科团队模式在治疗结直肠癌中的有效性。
Effectiveness of the Multidisciplinary Team Model in Treating Colorectal Cancer.
作者信息
Lin Wen-Li, Sun Jia-Ling, Chang Shu-Chan, Tsai Tsung-Chih, Wu Pei-Hua, Huang Wen-Tsung, Tsao Chao-Jung, Lin Chien-Liang
机构信息
Wen-Li Lin, MSN, Cancer Center, Chi Mei Medical Center, Liouying, Taiwan. Jia-Ling Sun, PhD, Department of Nursing, National Taichung University of Science and Technology, Taichung, Taiwan. Shu-Chan Chang, MSN, Cancer Center, Chi Mei Medical Center, Liouying, Taiwan. Tsung-Chih Tsai, MD, Department of Surgery, Chi Mei Medical Center, Liouying, Taiwan. Pei-Hua Wu, MSN, Cancer Center, Chi Mei Medical Center, Liouying, Taiwan. Wen-Tsung Huang, MD, Department of Hematology and Oncology, Chi Mei Medical Center, Liouying, Taiwan. Chao-Jung Tsao, MD, Department of Hematology and Oncology, Chi Mei Medical Center, Liouying, Taiwan. Chien-Liang Lin, MD, Department of Hematology and Oncology, Chi Mei Medical Center, Liouying, Taiwan.
出版信息
Gastroenterol Nurs. 2018 Nov/Dec;41(6):491-496. doi: 10.1097/SGA.0000000000000348.
The multidisciplinary team (MDT) model involves multiple medical professionals providing integrated medical care. Colorectal cancer (CRC) has the highest prevalence of cancer in Taiwan. This study examines and evaluates the survival rates of CRC patients treated under the MDT model. In this retrospective and prospective study, 651 CRC patients were recruited. They were divided into 2 groups: the MDT group and the traditional care (TC) group. The MDT group comprised 326 patients who received care from a MDT. The TC group comprised 325 patients who received care from a TC. The outcome variables were survival rates, follow-up appointment compliance, and 14-day readmission rates. Adopting the MDT model for CRC care increased patient follow-up appointment compliance rates at the first week, first month, and third month (p = .032, p = .007, p = .001, respectively). The model also effectively reduced patients' 14-day readmission rates. The results indicated that the survival rates of the MDT care were superior to those of TC. The adoption of the MDT model to treat CRC effectively enhanced clinical treatment adherence, increased survival rates, and reduced the 14-day readmission rate.
多学科团队（MDT）模式涉及多个医学专业人员提供综合医疗服务。结直肠癌（CRC）在台湾的癌症患病率最高。本研究对接受MDT模式治疗的CRC患者的生存率进行了考察和评估。在这项回顾性和前瞻性研究中，招募了651例CRC患者。他们被分为两组：MDT组和传统护理（TC）组。MDT组由326例接受MDT护理的患者组成。TC组由325例接受TC护理的患者组成。结果变量为生存率、随访预约依从性和14天再入院率。采用MDT模式进行CRC护理提高了患者在第一周、第一个月和第三个月的随访预约依从率（分别为p = 0.032、p = 0.007、p = 0.001）。该模式还有效降低了患者的14天再入院率。结果表明，MDT护理的生存率优于TC护理。采用MDT模式治疗CRC有效提高了临床治疗依从性，提高了生存率，并降低了14天再入院率。
Zotero 插件