Earnshaw J J, Stephenson Y
Gloucastershire Royal Hospital, England.
J R Soc Med. 1997 May;90(5):258-9. doi: 10.1177/014107689709000507.
After special training a nurse practitioner ran an independent clinic for follow-up patients with breast disease. All patients referred to a single surgical firm with breast cancer and most patients with benign disease who required follow-up were included. In the first 2 years of the service 382 clinic visits were recorded (median 5/clinic, range 1-12). The nurse practitioner reviewed 236 (62%) patients alone but involved the consultant surgeon in the remainder. No significant lesion was missed in these patients. The nurse-led clinic is popular with patients and, subject to careful supervision, offers an attractive option for follow-up of patients with breast disease.
经过专门培训后，一名执业护士开设了一家独立诊所，为乳腺疾病患者提供随访服务。所有被转诊至同一家外科公司治疗乳腺癌的患者以及大多数需要随访的良性疾病患者都被纳入其中。在服务的前两年，共记录了382次门诊就诊（中位数为每次门诊5人次，范围为1 - 12人次）。执业护士独自诊治了236名（62%）患者，其余患者则由外科顾问参与诊治。这些患者中没有漏诊任何重大病变。由护士主导的诊所很受患者欢迎，并且在仔细监督的情况下，为乳腺疾病患者的随访提供了一个有吸引力的选择。
