樊嘉欣,李玉梅.多学科癌痛整合门诊的实施与管理[J].上海护理,2023,23(2):
多学科癌痛整合门诊的实施与管理
Implementation and management of an integrated multidisciplinary cancer pain clinic
DOI:
中文关键词:  癌痛,多学科协作,整合门诊
英文关键词:cancer pain  multi-disciplinary collaboration  integrated clinic
基金项目:
作者单位E-mail
樊嘉欣 同济大学附属上海市肺科医院 1277664915@qq.com 
李玉梅* 同济大学附属上海市肺科医院护理部 13917922290@1663.com 
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中文摘要:
      目的 探讨专科医院多学科协作癌痛整合门诊的运营管理模式,为解决“看病难”问题提供理论参考。方法 2013年开始我院构建癌痛整合门诊,形成一站式多学科协作诊疗模式(The multi-disciplinary team, MDT),由肺内科医师、麻醉师、临床药师、疼痛专科护士兼国家二级心理咨询师组成,明确工作小组成员的资质要求,执行绿色通道的诊疗模式,实现快速检查、诊断及解决癌痛问题;采用“四固定”的工作特色,方便患者就医;建立个人档案,登记“疼痛筛查表”,由疼痛专科护士每周电话随访实施疼痛跟踪管理和延续护理。对2018及2019年度的癌痛整合门诊308例患者的就医体验进行分析。结果 患者认为一次性达到就医目标占88.3%,诊治及时合理占87.3%,居家康复护理指导及时占78.6%,避免多次排队占70.1%,便捷、减少周折和往返占68.2%,用药指导合理占64.3%,避免重复挂号占54.2%。患者就医体验总体满意度达96.4%。结论 与目前分科精细化的诊疗模式相比,多学科癌痛整合门诊为患者提供了一站式的便捷快速诊疗服务,有效解决看病难的问题,提升了患者就医满意度,值得临床推广。
英文摘要:
      Objective: To explore the operation and management model of the multidisciplinary team cancer pain clinic in a specialized hospital, and to provide a theoretical reference for solving the problem of "difficult access to medical care". Methods The multi-disciplinary team (MDT), consisting of pulmonary physicians, anesthesiologists, clinical pharmacists, pain nurses and national level 2 psychological counselors, was established in our hospital in 2013, and the green channel treatment model was implemented to achieve The team will establish personal files, register the "pain screening form", and have the pain specialist nurse make weekly follow-up phone calls to implement pain tracking management and continuous care. We analyzed the medical experience of 308 patients in the cancer pain integration clinic in 2018 and 2019. Results 88.3% of the patients thought that they could achieve the medical goal at one time, 87.3% of the patients thought that the diagnosis and treatment were timely and reasonable, 78.6% of the patients thought that the home rehabilitation care guidance was timely, 70.1% of the patients thought that the patients avoided multiple queues, 68.2% of the patients thought that it was convenient and reduced the number of trips and round trips, 64.3% of the patients thought that the medication guidance was reasonable, and 54.2% of the patients thought that the patients avoided repeated registration. The overall satisfaction rate of patients' medical experience was 96.4%. Conclusion Compared with the current subspecialty refinement treatment model, the multidisciplinary cancer pain integrated clinic provides patients with one-stop convenient and rapid treatment services, which effectively solves the problem of difficulty in seeing patients and improves patients' satisfaction in seeking medical treatment.
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