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高危乳腺癌机会性筛查门诊服务方案构建与实践研究

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目的 探讨乳腺癌高危风险人群门诊机会性筛查服务方案的构建和应用效果。方法 检索乳腺癌筛查相关指南和专家共识,构建高危乳腺癌门诊机会性筛查服务流程。选取 2023 年 5 月至 7 月某三级甲等医院乳腺门诊主动就医患者共 386 例,北院区乳腺癌门诊患者 184 例为试验组,实施高危乳腺癌机会性筛查门诊服务,南院区门诊患者 202 例为对照组,实施常规乳腺门诊服务。比较两组 1 周内筛查执行率、3 个月内筛查执行率、乳腺癌检出率、筛查与首次治疗间隔时间以及就诊满意度。结果 试验组1 周内筛查执行率65。22%,3 个月内筛查执行率79。34%,对照组1 周内筛查执行率61。39%,3 个月内筛查执行率41。58%;试验组筛查与首次治疗间隔时间(4。75±0。85)d,对照组间隔(11。22±2。11)d;试验组就诊流程满意度 78。80%,医护服务满意度 85。33%,筛查预约满意度 79。89%,随访服务满意度 86。96%,均高于对照组,差异有统计学意义(P<0。05)。结论 高危乳腺癌机会性筛查门诊服务临床应用效果好,筛查人群接受度高,可提升就诊满意度,具有一定可行性。
Construction and practice of outpatient service plan for opportunistic screening of high-risk breast cancer
Objective To explore the construction and application effect of outpatient opportunistic screening services for high-risk breast cancer.Methods Relevant guidelines and expert consensus on breast cancer screening were retrieved,and the outpatient opportunistic screening service process of high-risk breast cancer was constructed.From May to July in 2023,a total of 386 patients in the breast clinic of a tertiary class A hospital were selected.A total of 184 cases of breast cancer outpatients in the north hospital were selected as the experimen-tal group,and the high-risk breast cancer opportunistic screening outpatient service was implemented.And 202 cases of outpatients in the south hospital were selected as the control group,and the routine breast outpatient service was implemented.The implementation rate of screening within 1 week and 3 months,the detection rate of breast cancer,the interval between screening and the first treatment,and the satis-faction of treatment were compared between the two groups.Results The screening implementation rates within 1 week and 3 months were 65.22%and 79.34%in the experimental group,and 61.39%and 41.58%in the control group,respectively.The interval between screening and first treatment was(4.75±0.85)days in the experimental group and(11.22±2.11)days in the control group.The satisfaction rate of medical process,medical service,screening appointment and follow-up service in the test group was 78.80%,85.33%,79.89%and 86.96%,respectively,which were higher than those in the control group(P<0.05).Conclusion The opportunistic screening outpatient service process for high-risk breast cancer has a good clinical application effect,high acceptance of the screening population,and can improve the satisfaction of medical treatment,which is feasible.

breast canceropportunistic screeningoutpatient service

王丽、许丹丹、袁玲、严婷婷、陈秋菊、刘莉

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210008,南京市,南京鼓楼医院江北院区 泌尿外科

210008,南京市,南京鼓楼医院江北院区 乳腺外科

210008,南京市,南京鼓楼医院江北院区 护理部

210008,南京市,南京鼓楼医院江北院区 肿瘤科

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乳腺癌 机会性筛查 门诊服务

江苏省医院协会医院管理创新研究项目

JSYGY-3-2021-196

2024

护理管理杂志
中国人民解放军北京军区总医院

护理管理杂志

CSTPCD
影响因子:2.38
ISSN:1671-315X
年,卷(期):2024.24(2)
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