头颈肿瘤多学科协作诊治模式下护理管理实践

Establishment and practice of specific nursing for head and neck cancer under the multidisciplinary treatment model

目的 :探讨多学科协作诊治模式下护理建设及发展。方法 :通过组建头颈肿瘤医护团队,实施多学科讨论流程,护理专业人员的分层培训,以问题为基础的病例讨论,医护合作实施护理临床路径,推行以患者为中心的个案管理模式。结果:医护患之间的满意度均有提高,护理团队的专业知识、病情掌握、团队建设等方面均比参与前提高,两者比较具有统计学差异(P<0.01)。结论 :多学科协作诊治模式下护理建设,能显著提高护士专业能力,促进学科发展,为患者提供优质服务。

Objective：To explore the construction and development of specialty nursing under Multidisciplinary Treatment （MDT） for head and neck cancer. Methods：After establishing multidisciplinary medical team, the team members implemented multidisciplinary discussion process, hierarchical training of professional nurses, and problem based case discussion. And then they developed patient-centered case management model through tracking clinical nursing pathway. Results：Satisfaction among the patients, doctors and nurses improved obviously. Professional knowledge, familiar level of patients＇ condition and team building status in nurse team improved signiifcantly as compared with before （P〈0.01）. Conclusion：The construction of specialty nursing under the MDT mode could significantly improve the nurses＇ professional abilities to provide high quality care for patients.