Yancey R, Given B A, White N J, DeVoss D, Coyle B
Institute for Managed Care, East Lansing, Michigan, USA.
Comput Nurs. 1998 Sep-Oct;16(5):275-84.
The Rural Partnership Linkage for Cancer Care project is a program of advanced practice nursing care made available to rural cancer patients to provide education, symptom management, referral, and support within their communities. The advanced practice nurses used a computerized clinical information system (CCIS) to record care. In this article the CCIS is described, the software and hardware requirements are discussed, and the outcomes and value of the system are discussed. The CCIS is a relational database run on laptop computers that includes screens for standard recording of demographics, physical exam, symptoms, and treatments. The advanced practice nurses track patient symptoms over time, noting which treatments are successful in resolving or reducing the problems. Information from patient visits is selected by help menus for inclusion into referral forms, reports of patient care, and discharge summaries. Reports can be faxed or mailed to distant sites. The research team uses the combined data set to examine symptom patterns, nursing diagnosis, and treatments that result in improved physical and psychological functioning and symptom resolution. Rural cancer patients and their families benefit from care management, participation in research, and communication of patient health status in an integrated and timely fashion made possible by the CCIS.
农村癌症护理伙伴关系联系项目是一项为农村癌症患者提供的高级实践护理计划，旨在在其社区内提供教育、症状管理、转诊和支持。高级实践护士使用计算机化临床信息系统（CCIS）记录护理情况。本文描述了CCIS，讨论了其软件和硬件要求，并探讨了该系统的成果和价值。CCIS是一个运行在笔记本电脑上的关系数据库，包括用于标准记录人口统计学、体格检查、症状和治疗的屏幕。高级实践护士会随着时间推移跟踪患者症状，记录哪些治疗在解决或减轻问题方面取得了成功。通过帮助菜单选择患者就诊信息，以便纳入转诊表格、患者护理报告和出院小结。报告可以传真或邮寄到远方的地点。研究团队使用合并的数据集来检查症状模式、护理诊断以及能改善身体和心理功能并解决症状的治疗方法。农村癌症患者及其家庭受益于护理管理、参与研究以及通过CCIS实现的患者健康状况的综合及时沟通。
