基于信息平台的恶性肿瘤护理随访模式研究
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摘要
目的探索基于信息平台的恶性肿瘤护理随访模式,寻求护理人力资源的配置方法。方法培育兼职和专职两种形式的随访护士,采用三种模式进行随访:兼职组、专兼职组和专职组。结果兼职组随访率为66. 4%,专兼职组为84. 8%,专职组为70. 2%,三者之间的差异有统计学意义(P <0. 01);兼职组及时率为42. 0%,专兼职组为70. 0%,专职组为51. 9%,三者之间的差异有统计学意义(P <0. 01)。兼职组失访率为2. 4%,其中拒绝率73. 9%,合作组失访率1. 7%,拒绝率79. 9%,专职组失访率1. 4%,拒绝率86. 7%,专兼职组和专职组失访率之间的差异有统计学意义(P <0. 05)。兼职组主动咨询率为7. 6%,专兼职组为20. 0%,兼职与专兼职咨询率之间的差异有统计学意义(P <0. 01),专职组为17. 61%,专兼职和专职之间的差异无统计学意义(P> 0. 05);生活质量评分专兼职组高于兼职组(P <0. 01),和专职组无明显差异(P> 0. 05);兼职组满意度90. 7%,专兼职组98. 9%,专职组97. 9%,兼职组和专兼职组满意度之间的差异有统计学意义(P <0. 01),专兼职组和专职组之间的差异无统计学意义(P> 0. 05)。结论专兼职合作模式,实现了优势互补,有助于节约人力,提高随访质量,改善患者就医感受。
Objective: To explore the model of follow-up nursing of malignant tumor based on information platform,and seek the allocation method of nursing human resources. Method: The part-time and the full-time nurses were trained in three modes:the part-time, the part-time and the full-time,and the full-time groups. Result: The follow-up rate of the part-time group was66. 44%, that of the full-time and part-time group was 84. 79%, and that of the full-time group was 70. 21%. The difference between the three groups was statistically significant( P < 0. 01). The timeliness rate of the part-time group was 42. 00%, that of the full-time and part-time group was 69. 97%, and that of the full-time group was 51. 90%. The difference between the three groups was statistically significant( P < 0. 01). The loss rate of the part-time group was 2. 4%,of which the rejection rate was 73. 9%, the cooperation group was 1. 69%, the rejection rate was 79. 90%, the loss rate of the full-time group was 1. 43%,and the rejection rate was86. 70%. The difference between the full-time and part-time, and the full-time groups was statistically significant( P < 0. 05). The active consultation rate of the part-time group was 7. 60%, that of the full-time and part-time groups was 19. 99%, and the difference between the part-time group, and the full-time and part-time group was statistically significant( P < 0. 01), that of the full-time group was 17. 61%, and that of the full-time and part-time group and the full-time group was not statistically significant( P > 0. 05). The quality of life score was higher in the full-time and part-time group than in the part-time group( P < 0. 01),which has no significant difference from the full-time group( P > 0. 05). Satisfaction of the part-time group was 90. 67%, that of the full-time and part-time group was 98. 89% and that of the full-time group was 97. 89%. The difference in satisfaction between part-time, and full-time and part-time groups was statistically significant( P < 0. 01). There was no statistically significant difference between the full-time and part-time, and full-time groups( P > 0. 05). Conclusion: The mode of full-time and part-time cooperation realizes complementary advantages,which can help save manpower, improve the quality of follow-up visit and improve patients' feeling of seeking medical treatment.
Objective: To explore the model of follow-up nursing of malignant tumor based on information platform,and seek the allocation method of nursing human resources. Method: The part-time and the full-time nurses were trained in three modes:the part-time, the part-time and the full-time,and the full-time groups. Result: The follow-up rate of the part-time group was66. 44%, that of the full-time and part-time group was 84. 79%, and that of the full-time group was 70. 21%. The difference between the three groups was statistically significant( P < 0. 01). The timeliness rate of the part-time group was 42. 00%, that of the full-time and part-time group was 69. 97%, and that of the full-time group was 51. 90%. The difference between the three groups was statistically significant( P < 0. 01). The loss rate of the part-time group was 2. 4%,of which the rejection rate was 73. 9%, the cooperation group was 1. 69%, the rejection rate was 79. 90%, the loss rate of the full-time group was 1. 43%,and the rejection rate was86. 70%. The difference between the full-time and part-time, and the full-time groups was statistically significant( P < 0. 05). The active consultation rate of the part-time group was 7. 60%, that of the full-time and part-time groups was 19. 99%, and the difference between the part-time group, and the full-time and part-time group was statistically significant( P < 0. 01), that of the full-time group was 17. 61%, and that of the full-time and part-time group and the full-time group was not statistically significant( P > 0. 05). The quality of life score was higher in the full-time and part-time group than in the part-time group( P < 0. 01),which has no significant difference from the full-time group( P > 0. 05). Satisfaction of the part-time group was 90. 67%, that of the full-time and part-time group was 98. 89% and that of the full-time group was 97. 89%. The difference in satisfaction between part-time, and full-time and part-time groups was statistically significant( P < 0. 01). There was no statistically significant difference between the full-time and part-time, and full-time groups( P > 0. 05). Conclusion: The mode of full-time and part-time cooperation realizes complementary advantages,which can help save manpower, improve the quality of follow-up visit and improve patients' feeling of seeking medical treatment.
引文
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[13]简宁,刘义兰,胡德兰,等.临床护士延续护理知信行现状的调查研究[J].中华护理杂志,2016,51(4):404-408.
[2] Gilbert JE,Green E,Lankshear S,et al. Nurses and patient navigators in cancer diagnosis:rew iew,consultation and model design[J]. Eur J Cancer,2011,20(2):228-236.
[3]张扬,李国宏,刘敏.我国外科出院患者延续护理实施现状及建议[J].中华护理杂志,2016,51(4):409-412.
[4]张建林,唐湘.出院后延续性护理干预对肾移植患者心理素质及免疫抑制剂治疗依从性的影响[J].中国实用护理杂志,2013,29(27):27-29.
[5] Anderson B. The benefits to nurse-led telephone follow-up for prostate cancer[J]. Br J Nurs,2010,19(17):1085-1090.
[6]辛明珠.以“一站式患者资源中心”为依托探索肿瘤延续护理新模式[J].护士进修杂志,2014,29(17):1573-1576.
[7]胡君娥,付沫,唐运香,等.身心灵互动健康模式对鼻咽癌患者生活质量的影响.[J].护理学杂志,2014,24(22):4-7.
[8] TrinidadeA,KothariP,Andreou Z,et al. Follow-up in head and neck cancer:patient perspective[J]. Int J Health Care QualAssur,2012,25(2):145-149.
[9] Lewis R,Neal RD,Williams NH,et al. Nurse-led vs. conventional physician-led follow-up for patients w ith cancer:systematic review[J]. J Adv Nurse,2009,65(4):706-723.
[10]列凌,付伟.患者出院计划指南5W1H分析[J].中国实用护理杂志,2012,28(35):53-56.
[11]余春华,李俊英,符琰,等. PICC专职化管理在导管质量控制中的作用[J].护士进修杂志,2013,28(5):412-414.
[12] Bradway CL,Tmtta R,Bixby MB,et al. A qualitative a11alysis0f a Il advanced practice nurse-directed trasitional care model intervention[J]. Gerontologist,2012,52(3):394-407.
[13]简宁,刘义兰,胡德兰,等.临床护士延续护理知信行现状的调查研究[J].中华护理杂志,2016,51(4):404-408.