The Impact of Breast Care Nurses on Patients' Satisfaction, Understanding of the Disease, and Adherence to Adjuvant Endocrine Therapy
The Impact of Breast Care Nurses on Patients' Satisfaction, Understanding of the Disease, and Adherence to Adjuvant Endocrine Therapy
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DOI：
10.1159/000329006
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发表时间：
2011-01-01
期刊：
影响因子：
2.1
通讯作者：
Kalder, Matthias
中科院分区：
文献类型：
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作者：
Albert, Ute-Susann;Zemlin, Cosima;Kalder, Matthias
背景：乳房护理护士(BCN)是经认证的乳腺癌中心团队中的专业护理人员。BCN的工作的影响尚不清楚。患者和方法：在360名患者出院后的邮件调查中，评估了BCN护理的作用。结果：237份(66%)回收问卷中，207份(87%)得到分析，171份(83%)患者有过BCN接触，36份(17%)没有接触。接触过BCN的女性的全球生活质量平均得分(EORTC-QLQ-C30)为66.3分，而未接触BCN的女性为62.5分(p<；0.05)。有BCN接触者的女性在以下参数方面比没有接触的女性有更好的结果(P<；0.001)：信息材料的接受度(84%比)，关于医院程序和治疗计划的信息(93%比63%)，以及对自身肿瘤激素受体状况的了解(83%比53%)。服药依从性与对肿瘤激素受体状态的了解有关，在接触过BCN的女性中，服药依从性显著更高(79%比56%)。较高的推荐率(81%)反映出市民对中环网的满意程度。对评论和建议的定性分析确定了改进BCN服务的方面。结论：BCN可提高乳腺癌患者的满意度和治疗依从性。
Background: Breast care nurses (BCNs) are specialized caregivers in certified breast cancer center teams. The impact of a BCN's work remains unknown. Patients and Methods: The role of BCN care was evaluated in a post-discharge mail survey of 360 patients. Results: A total of 207 (87%) of 237 (66%) returned questionnaires were analyzed; 171 (83%) patients had BCN contact, 36 (17%) did not. The mean global quality of life scores (EORTC-QLQ-C30) were 66.3 for women with contact to a BCN versus 62.5 for women without such contact (p < 0.05). Women with a BCN contact had better results than women without (p < 0.001) for the following parameters: receipt of information material (84 vs. 64%), information about hospital procedures (93 vs. 72%) and treatment plan (91 vs. 63%), and knowledge of own tumor hormone receptor status (83 vs. 53%). Medication adherence correlated with the knowledge about the tumor hormone receptor status and was significantly higher in women having contact with a BCN (79 vs. 56%). The high recommendation rate (81%) reflects the high level of satisfaction with BCNs. A qualitative analysis of comments and suggestions identified aspects to improve BCN services. Conclusions: BCN improve satisfaction and treatment adherence in breast cancer patients.