主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
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• 特别策划·护理岗位管理 • 上一篇    下一篇

乳腺癌个案管理师岗位的设置与效果评价

王影新 王悦 刘飞   

  1. 北京大学第一医院普通外科,100034
  • 出版日期:2018-04-25 发布日期:2018-04-25

The implementation and effects of setting up breast cancer case manager

  • Online:2018-04-25 Published:2018-04-25

摘要: 目的:分析乳腺癌个案管理师作为肿瘤专科护士临床发展方向的可能性,为专科护士岗位管理提供依据。方法:自2016 年6 月起在乳腺疾病中心设立个案管理师岗位。对该岗位的任职资格、工作路径、工作职责等进行归纳和探讨,并统计岗位设立第一年的乳腺CNB 阳性患者入院情况、收案患者随访情况、居家照顾小讲堂参与情况、微信公众号运营情况、淋巴水肿治疗情况。结果:CNB 阳性患者入院率从86.1% 提升至96.9%(P <0.05);收案患者各阶段随访率均达到100% ;居家照顾小讲堂患者参与率93.7% ;微信公众号关注人数增长率150.8% ;为20 例患者提供了淋巴水肿治疗服务;患者整体满意度达98%。结论:个案管理师作为肿瘤专科护士的临床发展方向具有可行性,有助于提升临床治疗效率及患者满意度,促进专科护士的发展。

Abstract: Objective: To evaluate the effects of setting up breast cancer case manager post as a part of the development of specialist nurses. Methods: Case manager position was set up since June 2016 in a breast cancer center. The qualifications, working path and responsibilities were described, the data of admission rate, following-up rate of discharged patients, participation rate of educational lecture, participation of WeChat official account, and treatment of lymphedema before and after setting up case manager were retrospectively analyzed. Results: Admission rate of patients with positive CNB was significantly increased from 86.1% to 96.9% (P<0.05), following-up rate of discharged patients increased to 100%, participation rate for educational lecture was 93.7% for patients and 66.7% for family members, 14% patients with lymphedema received manual lymph drainage, and about 98% patients showed satisfaction to the case manager.Conclusion: Setting up case manager post is effective to improve the clinical therapeutic effect and patients’ satisfaction,and it’s benefit for the development of specialist nurses.