University of Texas MD Anderson Cancer Center.
Oncol Nurs Forum. 2020 Mar 1;47(2):E44-E54. doi: 10.1188/20.ONF.E44-E54.
To explore the feasibility of a nurse-driven telephone triage intervention to improve the symptom experience of patients with cancer receiving treatment in the ambulatory setting.
SAMPLE & SETTING: 90 patients in three ambulatory centers (breast, head and neck, and sarcoma) receiving active treatment at a National Cancer Institute-designated comprehensive cancer center.
METHODS & VARIABLES: Patients received 4-18 triage calls from a nurse during a period of as many as six months dependent on their diagnosis and treatment. Feasibility was defined as the completion of 70% of triage calls. Symptom experience was measured using the MD Anderson Symptom Inventory.
The overall call completion rate was 78%. Interference (p = 0.002) and severity (p < 0.001) scores were significantly different among patients in the three centers and gradually decreased over time.
Outcomes suggest that a telephone triage intervention is feasible to support patients receiving treatment. Future research can evaluate whether proactive triage affects symptom intensity during the course of the treatment trajectory.
探索护士主导的电话分诊干预措施在改善接受门诊治疗的癌症患者症状体验方面的可行性。
90 名患者来自三个门诊中心（乳腺、头颈部和肉瘤），他们在一家美国国立癌症研究所指定的综合性癌症中心接受积极治疗。
根据患者的诊断和治疗情况，他们在长达六个月的时间内接受了 4-18 次来自护士的分诊电话。可行性定义为完成 70%的分诊电话。症状体验使用 MD 安德森症状量表进行测量。
总的电话完成率为 78%。三个中心的患者在干扰（p=0.002）和严重程度（p<0.001）评分方面存在显著差异，且随着时间的推移逐渐降低。
研究结果表明，电话分诊干预措施是可行的，可以为接受治疗的患者提供支持。未来的研究可以评估主动分诊是否会影响治疗过程中的症状强度。
