Sibbons Amy, Pillai Rajiv, Corr John, Persaud Satyendra
Department of Urology, Colchester General Hospital, Colchester, Essex, CO4 5JL, UK.
Division of Clinical Surgical Sciences, University of the West Indies, Trinidad and Tobago.
Ecancermedicalscience. 2019 Jul 30;13:955. doi: 10.3332/ecancer.2019.955. eCollection 2019.
With more people diagnosed and dying from renal cancers in England than ever before, treatment and follow-up post-surgery is of paramount importance. We have instituted a nurse-led follow-up service for renal cancers as a way to improve efficiency and make better use of clinic time. This is our first attempt to audit our service.
One of the main objectives of this project was to measure compliance of a nurse-led renal surveillance clinic against an established institutional follow-up protocol which was based on current European Association of Urology guidelines. We also aimed to assess patient satisfaction with nurse-led care.
A total of 89 patients with low/intermediate-risk kidney cancers who were on the nurse-led renal surveillance database following nephrectomy or partial nephrectomy were placed on a database. This was then audited for adherence to the clinic protocol. These same patients were subsequently sent patient satisfaction questionnaires.
The audit revealed high levels of compliance against the renal clinic protocol as well as positive feedback from the patient satisfaction questionnaire. Ninety-five percent said they felt either at ease or very at ease speaking to the nurse specialist. No one was dissatisfied with their consultations with 86% being very satisfied and 14% fairly satisfied. This was reinforced further by 100% of patients feeling that they could discuss all aspects of their condition with the Uro-oncology Clinical Nurse Specialist (UOCNS). Ninety-seven percent felt that they had adequate time with the nurse.
Nurse-led follow-up, in our setting, was noted to be safe and effective and was associated with high levels of patient satisfaction. This study adds to the growing body of work on the efficacy of nurse-led care.
在英格兰，被诊断出患有肾癌并因此死亡的人数比以往任何时候都多，因此术后的治疗和随访至关重要。我们设立了由护士主导的肾癌随访服务，以提高效率并更好地利用门诊时间。这是我们首次对该服务进行审核。
该项目的主要目标之一是根据基于当前欧洲泌尿外科学会指南制定的既定机构随访方案，衡量由护士主导的肾脏监测门诊的合规情况。我们还旨在评估患者对护士主导护理的满意度。
共有89例低/中风险肾癌患者在接受肾切除术或部分肾切除术后被纳入由护士主导的肾脏监测数据库。然后对该数据库进行审核，以检查是否遵守门诊方案。随后向这些患者发送了患者满意度调查问卷。
审核显示，该门诊对肾脏疾病方案的依从性很高，患者满意度调查问卷也给出了积极反馈。95%的患者表示，与护士专家交谈时感到轻松或非常轻松。没有人对咨询不满意，86%的人非常满意，14%的人比较满意。100%的患者认为他们可以与泌尿肿瘤临床护士专家讨论病情的各个方面，这进一步强化了上述结果。97%的患者认为他们与护士交流的时间足够。
在我们的环境中，由护士主导的随访被认为是安全有效的，并且患者满意度很高。这项研究增加了关于护士主导护理效果的越来越多的研究成果。
