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肿瘤患者的治疗过渡期:从医院到社区。

Care transitions among oncological patients: from hospital to community.

机构信息

Universidade Regional do Noroeste do Estado do Rio Grande do Sul, Programa de Pós Graduação Strictu Sensu em Atenção Integral à Saúde, Ijuí, RS, Brazil.

Universidade Federal de Santa Catarina, Departamento de Enfermagem, Florianópolis, SC, Brazil.

出版信息

Rev Esc Enferm USP. 2023 Jan 23;56:e20220308. doi: 10.1590/1980-220X-REEUSP-2022-0308en. eCollection 2023.

DOI:10.1590/1980-220X-REEUSP-2022-0308en
PMID:36718767
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10111385/
Abstract

OBJECTIVE

To analyze the transition of care from the perspective of cancer patients, in a Southern Brazil hospital, correlating perspectives with sociodemographic and clinical characteristics.

METHOD

Cross-sectional study using the Care Transitions Measure (CTM) with cancer patients undergoing clinical or surgical treatment following hospital discharge. Data collection was completed by telephone, between June and September 2019. Data analysis was performed using descriptive and inferential statistics.

RESULTS

The average CTM score was 74.1, which was considered satisfactory. The CTM factors: understanding about medications (83.3) and preparation for self-management (77.7) were deemed satisfactory; while: secured preferences (69.4) and care plan (66.1) were unsatisfactory for an effective and safe care transition. No statistically significant difference was found between sociodemographic variables and the CTM. Among the clinical variables, primary cancer and the secured preferences factor showed a significant difference (p = 0.044).

CONCLUSION

The transition from hospital care to the community was considered satisfactory in the overall assessment.

摘要

目的

从巴西南部一家医院癌症患者的角度分析医疗护理的连续性,并将患者观点与社会人口学和临床特征相关联。

方法

采用横断面研究,使用癌症患者在出院后接受临床或手术治疗的护理连续性评估工具(CTM)。2019 年 6 月至 9 月间,通过电话完成数据收集。采用描述性和推断性统计方法进行数据分析。

结果

平均 CTM 评分为 74.1,被认为是令人满意的。CTM 的各个因素中,对药物的理解(83.3)和自我管理准备(77.7)被认为是令人满意的;而:确定偏好(69.4)和护理计划(66.1)在有效的和安全的护理连续性方面是不满意的。社会人口学变量与 CTM 之间无统计学差异。在临床变量中,主要癌症和确定偏好因素之间存在显著差异(p=0.044)。

结论

从医院护理向社区护理的过渡在整体评估中被认为是令人满意的。

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本文引用的文献

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Care Transition From the Perspectives of Oncological Patients and the Multiprofessional Care Team: A Mixed Methods Study.从肿瘤患者和多专业护理团队的角度看护理交接:一项混合方法研究。
Cancer Nurs. 2024;47(1):E47-E56. doi: 10.1097/NCC.0000000000001160. Epub 2022 Dec 11.
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Effectiveness of care transition strategies for colorectal cancer patients: a systematic review and meta-analysis.结直肠癌患者的护理交接策略的有效性:系统评价和荟萃分析。
Support Care Cancer. 2022 Jul;30(7):6251-6261. doi: 10.1007/s00520-022-07033-2. Epub 2022 Apr 22.
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Care transition from hospital to home: cancer patients' perspective.从医院到家庭的护理过渡:癌症患者的观点。
BMC Res Notes. 2020 Jun 1;13(1):267. doi: 10.1186/s13104-020-05099-x.
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Care transition of patients with chronic diseases from the discharge of the emergency service to their homes.慢性病患者从急诊出院到返回家中的过渡期护理。
Rev Gaucha Enferm. 2020;41(spe):e20190155. doi: 10.1590/1983-1447.2020.20190155. Epub 2020 Apr 30.
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Cancer statistics, 2020.癌症统计数据,2020 年。
CA Cancer J Clin. 2020 Jan;70(1):7-30. doi: 10.3322/caac.21590. Epub 2020 Jan 8.
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Continuity of care interventions for preventing hospital readmission of older people with chronic diseases: A meta-analysis.连续性护理干预预防老年慢性病患者住院再入院的效果:一项荟萃分析。
Int J Nurs Stud. 2020 Jan;101:103396. doi: 10.1016/j.ijnurstu.2019.103396. Epub 2019 Aug 15.
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Association of demographic, economic and clinical variables in daily activities and symptoms presented by patients in cancer treatment.癌症治疗患者日常活动及症状中人口统计学、经济和临床变量的关联
Can Oncol Nurs J. 2017 Oct 1;27(4):365-374. doi: 10.5737/23688076274365374. eCollection 2017 Fall.
8
Care transition strategies in Latin American countries: an integrative review.拉丁美洲国家的护理过渡策略:一项综合综述。
Rev Gaucha Enferm. 2018 Nov 29;39:e20180119. doi: 10.1590/1983-1447.2018.20180119.
9
Validity and reliability of the Japanese version of the Care Transitions Measure.《照护过渡测量表》日文版的效度与信度
Int J Health Plann Manage. 2018 Apr;33(2):380-390. doi: 10.1002/hpm.2472. Epub 2017 Oct 27.
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Transitions of care in patients with cancer.癌症患者的照护转移
Am J Manag Care. 2017 Jun;23(7 Spec No.):SP280-SP284.