肿瘤随访对医务人员重要性的探讨  

Investigation on the Importance of Tumor Follow-up Work for Medical Personnel

作　　者：田国[1] 徐小莉[1] 李书梅[1] Tian Guo;Xu Xiaoli;Li Shumei(Department of Medical Record,The Fourth Hospital of Hebei Medical University,Shi Jiazhuang,Hebei Province,050000,China;不详)

机构地区：[1]河北医科大学第四医院病案室,河北省石家庄市050000

出　　处：《中国病案》2023年第11期3-5,共3页Chinese Medical Record

基　　金：河北省医学科学研究重点课题计划(20170755)。

摘　　要：目的探讨肿瘤随访工作对医务人员的重要性,以促进随访工作在医院内广泛开展。方法采取分层随机抽样的方法对某肿瘤医院2019年9月1日-2019年9月30日1160名医务人员进行问卷调查,问卷内容包括医务人员对随访工作的需求、目的及随访信息侧重点,采用χ^(2)检验比较医务人员的随访需要和目的,多重响应分析医务人员随访信息的侧重点。结果876名医务人员有随访工作的需求,占总人数的75.5%,医师268名,占所有医师人数的94%。医师进行随访工作的目的主要是进行课题研究,占66.7%,其次是对疗效的评价与观察,占16.8%。护士进行随访的主要目的为院后指导,占47.4%。医技人员、科研人员、实习生的随访目的第1位均为课题研究。在获取的随访信息中,肿瘤复发转移情况最多,占所有选项的25%。医师主要关注随访信息是患者复发转移和生存情况,分别为256(25.7%)和223(22.4%),护士、医技人员以及进修人员主要关注复发转移和出院后的不良反应。结论肿瘤随访工作对于医务人员有重要意义,应不断完善随访体系建设,使其更好地服务于医务人员。Objectives This study aims to investigate the importance of conducting follow-up studies on cancerous tumor cases for medical personnel to promote the follow-up work to be widely carried out in the hospital.Methods A questionnaire survey of 1160 medical staff in a tumor hospital from September 1,2019 to September 30,2019 was conducted by stratified random sampling.The content of the questionnaire included medical staff's needs for follow-up work,purpose,and emphasis on follow-up information.The χ^(2) test was used to compare the follow-up needs and purposes of medical personnel,and the focus of medical personnel’s follow-up information was analyzed by multiple response analysis.Results 876 medical staff had follow-up needs,accounting for 75.5%of the total number.268 of them were physicians,accounting for 94%of all physicians.Physicians'follow-up work was mainly for research projects,accounting for 66.7%,followed by evaluation and observation of curative effect,accounting for 16.8%.The primary purpose of follow-up work for nurses was post-hospitalization guidance,accounting for 47.4%,while that for medical technicians,scientific researchers,and interns was scientific study.Among the follow-up information obtained,tumor recurrence and metastasis were the most selected,accounting for 25%of all options.The first two follow-up information that the doctors were chiefly concerned about were recurrence and metastasis,as well as the survival of patients,which were 256(25.7%)and 223(22.4%),respectively.The first two pieces of information that nurses,medical technicians,and trainees paid attention to were recurrence and metastasis and adverse reactions after discharge.Conclusions Follow-up studies on cancerous tumors are of great significance to medical staff.The follow-up system should be continuously improved to better serve medical personnel.

关 键 词：肿瘤 随访 信息 需求 目的 医务人员 

分 类 号：R730[医药卫生—肿瘤]