C-D-C模式在直肠癌患者病程管理中的探索与实践  

Exploration and Practice of C-D-C Model in Course Management of Rectal Cancer Patients

作　　者：张洁[1] 王丹丹 张悦[1] 徐渊莲 杨茜[1] 王新静 曹星雪 陆宇晗[1] 武爱文[1] ZHANG Jie;WANG Dan-dan;ZHANG Yue;XU Yuan-lian;YANG Qian;WANG Xin-jing;CAO Xing-xue;LU Yu-han;WU Ai-wen(Beijing Cancer Hospital/Beijing Institute for Cancer Research)

机构地区：[1]北京大学肿瘤医院/北京市肿瘤防治研究所

出　　处：《医院管理论坛》2025年第1期68-72,共5页Hospital Management Forum

摘　　要：加速康复外科(ERAS)策略的有效实施,极大地缩减了患者的住院时间,减轻了医疗负担,并加速了患者的康复进程。然而,这一进步也伴随着一系列挑战,包括患者出院时准备不足、居家康复期间伤口及造口管理缺乏专业指导,以及相关症状控制效果不佳等问题。本研究引入以个案管理师、出院准备服务护理师及伤口/造口专科护士为核心的“C-D-C”管理模式,对直肠癌患者实施全病程的精细化管理。通过团队建设、岗位协同、信息化管理和“互联网+”助力健康教育等创新举措,为患者提供了安全、高效、便捷的全病程医疗服务,有效提升了患者的康复质量与满意度。The effective implementation of enhanced recovery after surgery(ERAS)strategy has greatly reduced the length of hospital stay of patients,reduced the medical burden,and accelerated the recovery process of patients.However,this progress has been accompanied by a series of challenges,including inadequate patient preparation at discharge,lack of professional guidance on wound and stoma management during home rehabilitation,and poor control of related symptoms.This study introduced the"C-D-C"management model with case managers,discharge preparation service nurses and wound/stoma specialist nurses as the core to implement fine management of the whole course of rectal cancer patients.Through innovative measures such as team building,job coordination,information management and"Internet+"powered health education,we provide patients with safe,efficient and convenient full-course medical services,and effectively improve the rehabilitation quality and satisfaction of patients.

关 键 词：病程管理 直肠癌 C-D-C模式 

分 类 号：R197.5[医药卫生—卫生事业管理]