低剂量计算机断层扫描：肿瘤专科护士导航对肺癌筛查的影响。
Low-Dose Computed Tomography: Effects of Oncology Nurse Navigation on Lung Cancer Screening.
作者信息
Watson Joni, Broome Marion E, Schneider Susan M
机构信息
Baylor Scott and White Medical Center.
Duke University.
出版信息
Clin J Oncol Nurs. 2020 Aug 1;24(4):421-429. doi: 10.1188/20.CJON.421-429.
BACKGROUND
Low-dose computed tomography (LDCT) lung cancer screening is an evidence-based and reimbursable strategy to decrease lung cancer and all-cause mortality in qualifying patients, but there remains low use and variation in providers' LDCT screening, ordering, and referring knowledge.
OBJECTIVES
The purpose of this quality improvement project was to examine the effects of oncology nurse navigation on assisting patients and ensuring optimal LDCT lung cancer screening.
METHODS
Oncology nurse navigators conducted LDCT provider education and navigated 133 eligible patients to LDCT during a five-month intervention time period.
FINDINGS
Provider education resulted in improved documented tobacco cessation discussions and increased LDCT screening ordering fidelity. Mean days from LDCT to provider notification and mean days from LDCT to patient notification improved significantly.
背景
低剂量计算机断层扫描（LDCT）肺癌筛查是一项基于证据且可报销的策略，旨在降低符合条件患者的肺癌及全因死亡率，但医疗服务提供者在LDCT筛查、开单及转诊知识方面的应用率仍然较低且存在差异。
目的
本质量改进项目的目的是研究肿瘤专科护士导航在协助患者及确保LDCT肺癌筛查达到最佳效果方面的作用。
方法
在为期五个月的干预期间，肿瘤专科护士导航员开展了LDCT医疗服务提供者教育，并引导133名符合条件的患者接受LDCT检查。
结果
对医疗服务提供者的教育使记录在案的戒烟讨论有所改善，LDCT筛查开单的准确性提高。从LDCT检查到通知医疗服务提供者的平均天数以及从LDCT检查到通知患者的平均天数均有显著改善。
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