Patient compliance with a health care provider referral for an occupational therapy lymphedema consult.
Patient compliance with a health care provider referral for an occupational therapy lymphedema consult.
复制标题
患者遵守医疗保健提供者转介的职业治疗淋巴水肿咨询。
DOI：
10.1007/s00520-014-2145-z
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发表时间：
2014
期刊：
影响因子：
--
通讯作者：
Madlensky,Lisa
中科院分区：
文献类型：
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作者：
Dominick,SallyA;Natarajan,Loki;Pierce,JohnP;Madanat,Hala;Madlensky,Lisa
研究目的：关于乳腺癌患者接受职业疗法（OT）治疗水肿专家门诊预约的依从性的信息有限。本研究的目的是（1）检查患者的依从性与医疗保健提供者转介的OT水肿咨询和（2）以确定潜在的障碍compliance.MethodsA回顾性图表审查女性乳腺癌患者在加州大学圣地亚哥分校卫生系统进行。查询乳腺癌患者的电子病历，这些患者在2010年6月1日至2011年12月31日期间接受了医疗保健提供者转诊的OT水肿咨询。描述性统计和Fisher精确卡方检验被用来研究如何具体的参与者特征与出席OT appoint.ResultsA共210名女性患者接受了OT转介从医疗保健提供者有关他们的乳腺癌诊断。43例（20.5%）患者未参加OT预约。与参加者相比，非参加者更有可能切除较少的淋巴结（P< 0.01）。出席的两个最常见的障碍是存在的健康问题，并接受化疗和/或放射治疗的时候，OT referreration.ConclusionsWhile大多数乳腺癌患者参加了建议OT水肿咨询，大量的妇女可能会受益于进一步的教育有关OT水肿预防乳腺癌治疗后。建议进行进一步研究，以了解就诊的障碍，特别是在仅切除前哨淋巴结的妇女中。
PurposeLimited information exists on breast cancer patients’ compliance to attend outpatient appointments with an occupational therapy (OT) lymphedema specialist. The objectives of this study were (1) to examine patient compliance with a health care provider referral for an OT lymphedema consult and (2) to identify potential barriers to compliance.MethodsA retrospective chart review of female breast cancer patients at the UC San Diego Health System was conducted. Electronic medical records were queried for breast cancer patients, who received a health care provider referral for an OT lymphedema consult between June 1, 2010 and December 31, 2011. Descriptive statistics and Fisher’s exact chi-square tests were used to examine how specific participant characteristics were associated with attending an OT appointment.ResultsA total of 210 female patients received an OT referral from a health care provider related to their breast cancer diagnosis. Forty-three (20.5 %) patients did not attend an OT appointment. Non-attenders were more likely to have had fewer lymph nodes removed (P< 0.01) when compared to attenders. The two most common barriers to attendance were the presence of health problems and undergoing chemotherapy and/or radiation at the time of the OT referral.ConclusionsWhile most breast cancer patients attended recommended OT lymphedema consults, a substantial number of women might benefit from further education about OT for lymphedema prevention following breast cancer treatment. Further research to understand barriers to attendance is recommended, particularly among women with only sentinel nodes removed.