Developing and piloting a nurse-led model of follow-up in the multidisciplinary management of colorectal cancer
Developing and piloting a nurse-led model of follow-up in the multidisciplinary management of colorectal cancer
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DOI：
10.1016/j.ejon.2006.10.007
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发表时间：
2007-07-01
影响因子：
2.8
通讯作者：
Preston, Elizabeth
中科院分区：
文献类型：
--
作者：
Knowles, Gillian;Sherwood, Linda;Preston, Elizabeth
结直肠癌随访的主要挑战之一是早期疾病的检测，以影响生存率和改善预后。然而，后续行动的好处不仅与生存有关。据文献记载，患者在结直肠癌手术后可能会遇到一系列影响生活质量的问题，因此症状管理在整个随访护理中起着重要作用。此外，有新的证据显示，临床护理专家在跨学科小组中有很好的地位，以协调这些后续计划。本文报告了一项试点研究，旨在评估由护理专家领导的结直肠癌患者随访计划的可行性。关键结果领域是遵守商定的后续协议，生活质量，患者和临床医生的满意度和新模式的成本分析。这项研究在60名患者中进行了一年多。这种重新设计使后续护理的途径更加顺畅，提高了患者和临床医生的生活质量和接受程度。引入护士主导的随访模式。预计将在3年滚动后续方案中实现成本节约。(C)2006爱思唯尔有限公司版权所有。
One of the main challenges of colorectal cancer follow-up is the detection of early disease in order to influence survival and improve outcome. Yet, the benefits of follow-up are not only related to survival. It is well documented that patients can experience an array of problems following colorectal cancer surgery which impact upon quality of life, therefore symptom management plays an important part in the overall spectrum of follow-up care. In addition, there is emerging evidence to suggest that clinical nurse specialists are well placed in the multidisciplinary team to co-ordinate such follow-up programmes. This paper reports on a pilot study designed to assess the feasibility of a follow-up programme led by nurse specialists for patients with colorectal cancer. Key outcome areas were adherence to an agreed follow-protocol, quality of life, patient and clinician satisfaction and a costanalysis of the new model.. The study was conducted over one year with 60 patients. This redesign resulted in a smoother pathway of follow-up care, improved quality of life and acceptance to both patients and clinicians alike. The introduction of a nurse-led follow-up model. is expected to demonstrate cost savings over a 3 year rolling follow-up programme. (C) 2006 Elsevier Ltd. All rights reserved.