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肺癌个案管理模式的构建与实施

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目的 构建并实施以个案管理师为主导的肺癌个案管理模式,探讨患者按时复诊率、患者满意率、辅助治疗依从性、我院辅助治疗留治率,以及自我管理能力和术后并发症发生率等专科指标.方法 选取中国科学技术大学附属第一医院安徽省立医院胸外科2020年10月-2021年11月确诊肺癌患者192例为研究对象,按照组间基本特征具有可比性的原则分为观察组与对照组,每组96例,观察组实施以个案管理师为主导的全病程肺癌个案管理模式,对照组实施常规护理,评价两组患者按时复诊率与患者满意率、辅助治疗依从性等指标.结果 观察组患者按时复诊率、满意率、辅助治疗依从性和我院辅助治疗留治率均高于对照组,差异有统计学意义(P<0.05).观察组患者肺功能锻炼依从性、慢性咳嗽自我管理达标率、患侧上肢上举达标率、合理膳食知晓率高于对照组,术后并发症发生率低于对照组,差异有统计学意义(P<0.05).结论 肺癌个案管理模式在临床的构建与应用,能有效提高诊疗依从性,降低并发症发生率,提高患者自我管理能力,改善生活质量.
Construction and implementation of lung cancer case management model
Objective To construct and implement a lung cancer case management model led by case managers,and explore the on-time follow-up rate,patient satisfaction rate,adjuvant treatment compliance,hospital adjuvant treatment retention rate,self-management ability and postoperative complication rate and other specialist indicators.Methods A total of 192 patients diagnosed with lung cancer from the department of thoracic surgery,Anhui Provincial Hospital of the First Affiliated Hospital of University of Science and Technology of China from October 2020 to November 2021 were selected as the research subjects.According to the principle of comparability of basic characteristics between groups,they were divided into an observation group and a control group,with 96 cases in each group.The observation group implemented a full-course lung cancer case management model led by case managers,while the control group implemented routine care.The on-time follow-up rate,patient satisfaction rate,adjuvant treatment compliance and other indicators of the two groups of patients were evaluated.Results The on-time follow-up rate,satisfaction rate,auxiliary treatment compliance and hospital auxiliary treatment retention rate of patients in the observation group were all higher than those in the control group,the differences were statistically significant(P<0.05).The observation group's lung function exercise compliance,chronic cough self-management compliance rate,affected upper limb lifting compliance rate,and reasonable dietary awareness rate were higher than those in the control group,the incidence of postoperative complications was lower than that in the control group,and the differences were statistically significant(P<0.05).Conclusion The construction and application of lung cancer case management model in clinical practice can effectively improve diagnosis and treatment compliance,reduce the incidence of complications,improve patients'self-management ability,and improve quality of life.

Lung cancerCase managementConstructionImplementationEffect

程兰、李从玲、张海玲、屠超冉、孙中雪

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中国科学技术大学附属第一医院安徽省立医院胸外科(安徽省合肥市,230001)

肺癌 个案管理 构建 实施 效果

安徽省科技厅重点研发项目

202004h07020014

2024

护理实践与研究
河北省儿童医院

护理实践与研究

影响因子:1.354
ISSN:1672-9676
年,卷(期):2024.21(3)
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