鼻咽癌放疗患者个案管理方案实践效果评价  

Effects of the nasopharyngeal carcinoma case management

作　　者：程平 吕俭霞 江庆华 彭姗姗 王国蓉 杨婷 殷利 CHENG Ping;LYU Jianxia;JIANG Qinghua;PENG Shanshan;WANG Guorong;YANG Ting;YIN Li(Sichuan Cancer Hospital&Institute,Sichuan Cancer Center,School of Medicine,University of Electronic Science&Technology of China,Chengdu,610041,China)

机构地区：[1]电子科技大学医学院附属肿瘤医院·四川省肿瘤医院&研究所头颈放疗科,成都市610041 [2]电子科技大学医学院附属肿瘤医院·四川省肿瘤医院&研究所护理部,成都市610041

出　　处：《中国护理管理》2020年第4期607-612,共6页Chinese Nursing Management

基　　金：2019年四川省卫生健康委员会科研课题(普及应用项目)(19PJ142);2018年四川省护理学会科研课题(H18010);2020年四川省科技厅科技创新创业人才和苗子工程项目(20MZGC0181)。

摘　　要：目的:评价鼻咽癌放疗患者个案管理方案实践效果。方法:在头颈放疗病区设立个案管理专职护士岗位,明确岗位的任职资质、职责、工作模式,统计岗位设置以来鼻咽癌患者收案、随访情况、健康大讲堂参与情况、鼻咽冲洗和漱口的依从性、完治率和满意度等。结果:对140名鼻咽癌患者实施了个案管理,收案率及随访率达到69.65%和97.00%以上,放疗健康大讲堂参与率达98.76%,鼻咽冲洗≥3次/天者达122例(87.14%),漱口≥5次/天者达113例(80.71%),功能锻炼≥3次/天者达118例(84.29%),完治率为98.57%,满意度达97.14%。结论:鼻咽癌放疗患者个案管理的临床应用,有助于鼻咽癌放疗患者症状管理,提升护理质量和患者满意度,可促进肿瘤专科护士的发展。Objective: To evaluate the effects of case management model for patients with nasopharyngeal carcinoma in radiotherapy. Methods: A case management nurse position was established in the head and neck radiotherapy ward. The qualifications, job responsibilities, and working mode of case management nurses were developed, and the data of receipt and follow-up of nasopharyngeal cancer, the participation of radiotherapy health lecture hall, the compliance with nasal irrigation and mouthwash for patients with nasopharyngeal carcinoma, the cure rate and satisfaction of patients were retrospectively analyzed to explore the effects of case management. Results: Totally 140 patients with nasopharyngeal carcinoma were included in the case management model, there were 69.65% of patients in the ward took part in the case management moded, and there were over 97.00% of cases completed the whole follow-up. There were 98.76% of cases took part in the health lecture, 122 cases(87.14%) were with nasal irrigation ≥3 times a day, 113 cases(80.71%) were with gargling ≥5 times a day, and 118 cases(84.29%) were with functional exercise ≥3 times a day. The completion rate of therapy was 98.57%, and the satisfaction was 97.14%. Conclusion: The case management is conducive to symptom management of patients with nasopharyngeal carcinoma in radiotherapy, improvement of care quality and patient satisfaction, and promoting the development of oncology specialized nurses.

关 键 词：鼻咽癌 个案管理 肿瘤专科护士 职业发展 

分 类 号：R47[医药卫生—护理学]