EFFICACY OF COORDINATED SUPPORTIVE CARE IN GYNECOLOGIC ONCOLOGY PATIENTS

本子项目是利用由NIH/NCRR资助的中心赠款提供的资源的众多研究子项目之一。子项目和研究者（PI）可能已经从另一个NIH来源获得了主要资金，因此可以在其他CRISP条目中表示。列出的机构是中心的，不一定是研究者的机构。开放大学内科妇科肿瘤科提出了一项计划，为开放大学健康科学中心校园内护理的患者启动一项创新的基于门诊的姑息治疗方案。该计划将针对患有无法治愈的复发性癌症的妇科癌症妇女，其治疗目标包括缓解症状和延长生存期。这种干预努力影响改善沟通和协调护理在许多领域，包括身体，情感和社会，这可能导致在症状控制方面更好的病人护理。该项目将包括一名心理学家，在负责住院服务的OU医疗中心工作人员和负责门诊服务的OU内科医生之间组织和个性化协调护理。该方案的设计将使协调员定期亲自、通过电话和书面形式与患者和家属沟通，讨论与医疗决定、缓解症状和支持性护理需求有关的问题。协调员将与其他团队成员一起审查和解决患者和家属的问题，并对患者和/或其家属作出回应，以改善沟通，更好地满足期望并提高护理质量。这项服务将持续到患者死亡，或研究/资助结束。期望这种协调的干预措施将提高生活质量和对没有已知治疗干预措施的患者的服务满意度。

This subproject is one of many research subprojects utilizing the resources provided by a Center grant funded by NIH/NCRR. The subproject and investigator (PI) may have received primary funding from another NIH source, and thus could be represented in other CRISP entries. The institution listed is for the Center, which is not necessarily the institution for the investigator. The gynecologic oncology section of the OU Physicians has proposed a plan to initiate an innovative outpatient-based program of palliative care for patients cared for on the OU Health Sciences Center campus. This program will target women with gynecologic cancer who have incurable recurrent cancer, for which treatment goals include palliation of symptoms and increased length of survival. This intervention strives to influence improved communication and coordinated care in a number of domains including physical, emotional, and social, which may lead to better patient care in terms of symptom control. This program will involve a psychologist to organize and individualize coordinated care between the OU Medical Center staff responsible for in-patient services and the OU Physicians staff responsible for outpatient services. It will be designed so that the coordinator will communicate with patients and family members at regularly scheduled intervals in person, on the phone and in writing on issues related to medical treatment decisions, palliation of symptoms and supportive care needs. The coordinator will review and address patient and family concerns with other team members and respond to the patient and/or her family member to improve communication, better meet expectations and improve quality of care. This service will continue until the death of the patient, or the culmination of the study/funding. The expectation is that this coordinated intervention will increase the quality of life and satisfaction with services for patients for whom there are no known curative interventions.