全程管理模式对门诊疑似乳腺癌患者诊疗依从性的影响研究  

Study on the Effect of Comprehensive Intervention of Whole-process Management Mode on the Diagnosis and Treatment Compliance of Outpatients with Suspected Breast Cancer

作　　者：张雪[1] 谭明英[1] 陈华英[1] Zhang Xue;Tan Mingying;Chen Huaying(West China Hospital of Sichuan University,Chengdu 610041,China)

机构地区：[1]四川大学华西医院,成都610041

出　　处：《成都医学院学报》2021年第2期157-160,共4页Journal of Chengdu Medical College

基　　金：四川省科技厅重点研发项目(No:2019YFS0385)。

摘　　要：目的探讨全程管理模式综合性干预对提高门诊疑似乳腺癌患者诊疗依从性的影响。方法选取2018年1月至2019年12月在四川大学华西医院乳腺专科门诊首次就诊的疑似乳腺癌患者518例,随机分为干预组(n=286)和对照组(n=232)。收集两组患者的基本信息,对照组给予常规指导及健康宣教;干预组在常规指导及健康宣教的基础上,通过电话、短信等综合性干预措施为患者在检查、诊断、复诊、治疗过程中提供全程管理。结果两组患者的一般资料差异无统计学意义(P>0.05);干预组患者的检查、复诊、治疗方面的依从性依次为95.8%、79.3%、99.3%,均高于对照组,恶性检出率高于对照组(P<0.05);患者满意度高于对照组(P<0.05)。结论基于全程管理模式综合性干预提高了疑似乳腺癌患者诊疗依从性,有利于乳腺癌的早发现、早诊断、早治疗,值得临床推广应用。Objective To explore the effect of comprehensive intervention of whole-process management mode on improving the diagnosis and treatment compliance of outpatients with suspected breast cancer.Methods A total of 518 patients with suspected breast cancer who first visited the breast specialist clinic of West China Hospital of Sichuan University from January 2018 to December 2019 were selected and randomly divided into intervention group and control group,randomly divided into intervention group(n=286)and control group(n=234).Basic information of patients in both groups was collected.The control group was given routine instruction and health education.And on the basis of routine instruction and health education,comprehensive intervention measures such as telephone calls and text messages were adopted to provide whole process management for patients in the intervention group during examination,diagnosis,follow-up and treatment.Results There was no significant difference in general information between the two groups(P>0.05).The compliance of the intervention group in examination,follow-up visit and treatment were 95.8%,79.3% and 99.3%,respectively,which were higher than those of the control group(P<0.05).And the malignancy detection rate of the intervention group was also higher than that of the control group(P<0.05).Patient satisfaction of the intervention group was higher than that of the control group(P<0.05).Conclusion Comprehensive intervention based on the whole-process management mode improves the diagnosis and treatment compliance of patients with suspected breast cancer,which is conducive to the early detection,early diagnosis and early treatment of breast cancer,and is worthy of promotion in clinical work.

关 键 词：全程管理模式 疑似乳腺癌 综合性干预 依从性 

分 类 号：R472.1[医药卫生—护理学]