医护程序化随访方案的制订及在胰腺肿瘤患者中的应用  

The practice of Physician-Nurse collaboration mode in follow-up management of patients with pancreatic neoplasm

作　　者：沈鸣雁[1] 卢芳燕[1] 王仁芳[1] 陈丽霞[1] 李清[1] 

机构地区：[1]浙江大学医学院附属第二医院肝胆胰外科,杭州市310009

出　　处：《中华护理杂志》2016年第11期1330-1334,共5页Chinese Journal of Nursing

摘　　要：目的制订医护程序化随访方案并评价其在胰腺肿瘤患者中的应用效果。方法制订医护程序化随访方案,对2014年3月—2016年2月的107例胰腺肿瘤患者实施医护程序化随访,比较随访前后患者自我护理能力和生活质量评分的变化。结果实施医护程序化随访16周后,患者的自我护理能力各项评分高于实施前,差异具有统计学意义(P<0.05);生活质量评价中,气促和经济困难评分差异无统计学意义(P>0.05),其余各项评分差异均有统计学意义(P<0.05)。患者对随访服务的满意率、接受辅助治疗的依从率、随访记录表单的完整率等均有所提高。结论医护程序化随访有助于提高胰腺肿瘤患者自我护理能力和生活质量。Objective To constitute the Physician-Nurse collaboration mode in follow-up management of patients with pancreatic neoplasm and to evaluate its effectiveness. Methods The Physician-Nurse collaboration mode was designed and applied in follow-up management of 107 patients with pancreatic neoplasm from March 2014 to February 2016. Score changes of self-care and quality of life of patients were compared before and after follow-up with Physician-Nurse collaboration mode. Results After 16 weeks of follow-up with Physician-Nurse collaboration mode,score of self-care was significantly higher than that before implementation（P〈0.05）. For quality of life（QoL）, except dyspnea and financial impact,the rest of scores were significantly higher than those before implementation （P〈0.05）. Patient satisfaction,compliance of adjuvant therapy and documentation integrity of follow-up were improved. Conclusion Physician-Nurse collaboration mode in follow-up management is helpful to improve self-care and quality of life of patients with pancreatic neoplasm.

关 键 词：医生护士关系 合作行为 胰腺肿瘤 随访 

分 类 号：R473.73[医药卫生—护理学]