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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.

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。

相似文献

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Care transitions among oncological patients: from hospital to community.肿瘤患者的治疗过渡期:从医院到社区。
Rev Esc Enferm USP. 2023 Jan 23;56:e20220308. doi: 10.1590/1980-220X-REEUSP-2022-0308en. eCollection 2023.
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Quality of transitional care of children with chronic diseases: a cross-sectional study.慢性病患儿过渡期护理质量:一项横断面研究。
Rev Esc Enferm USP. 2022 Apr 8;56:e20210535. doi: 10.1590/1980-220X-REEUSP-2021-0535. eCollection 2022.
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Rev Esc Enferm USP. 2023 Nov 20;57:e20230083. doi: 10.1590/1980-220X-REEUSP-2023-0083en. eCollection 2023.

本文引用的文献

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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.
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.
10
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.

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