乳腺专科护士在多学科团队中的培养

Training of breast specialist nurses in multidisciplinary team

目的:探索多学科团队(multidisciplinary team,MDT)模式下乳腺专科护士(specialist breast n u r s e s,S B N)的培养。方法:选取重庆大学附属肿瘤医院乳腺中心参与过乳腺癌M DT诊疗的住院患者144例和护士62名为研究对象,随机分为对照组与试验组,每组患者72例,护士31名。试验组护士除接受常规专科培训外,还参与乳腺癌MDT12个月;对照组采用常规的专科培训。1 2个月后比较两组护士的医生满意度和护士乳腺专科知识得分,在接受M DT讨论前后比较两组患者的疾病不确定感得分及对护士满意度。结果:12个月后,试验组护士的医生满意度和乳腺专科知识得分均优于对照组,差异具有统计学意义(P<0.05);在MDT讨论结束后,试验组患者的满意度及疾病不确定感得分均优于对照组,差异具有统计学意义(P<0.05)。结论:SBN的工作贯穿MDT全程,其工作对于MDT的开展起有利作用,同时可以增加患者和医生满意度,降低患者不确定感,增加护士乳腺专科知识,提示管理者应重视SBN参与MDT的能力培养并提供支持。

Objective： To explore the effect of the cultivation of specialist breast nurses（SBN） under the mode of the multidisciplinary team（MDT）, cultivation and application effect. Methods： We chose breast center 144 cases of hospitalized patients who were involved in the MDT team of breast cancer and 62 nurses as object of study, there were randomly divided into control group and experimental group, 72 cases of patients in each group, each group of 31 nurses. The experimental group of nurses were also involved in the MDT team in addition to the regular specialist training. The control group used routine specialist training. After 12 months of implementation, the doctors＇ satisfaction and nurses＇ knowledge of the nurses were compared. Before and after the MDT discussion comparison of the two groups of patients with uncertainty of the disease score and satisfaction with the nurse, nurses were involved in breast cancer MDT team 12 months. Results： After 12 months, doctors＇ satisfaction and mammary gland specialized subject knowledge score of experimental group the nurse were superior to control group, the difference was statistically significant（P〈0.05）; after the MDT discussion, the experimental group patients, satisfaction and disease uncertainty were better than the control group, and the difference was statistically significant（P〈0.05）. Conclusion： Breast specialist nurses work throughout the MDT whole journey, the work for the development of MDT plays a good role, at the same time can increase patient and physician satisfaction, reduce the patients＇ sense of disease uncertainty, increase the nurse mammary gland specialized subject knowledge, managers should attach importance to breast specialist nurses participate in MDT ability training and provide support.