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首页> 外文期刊>Clinical journal of oncology nursing >Implementing a distress screening instrument in a university breast cancer clinic: A quality improvement project
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Implementing a distress screening instrument in a university breast cancer clinic: A quality improvement project

机译：在大学乳腺癌诊所中实施遇险筛查工具：一项质量改进项目

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Distress remains a pervasive experience of patients with cancer. As a result, a quality improvement project was conducted in the breast cancer clinic of a university cancer center in the midwestern United States. Nurses identified a need to increase identification of distress over a six-month period when they made only eight referrals for distress support during 1,291 patient encounters. The eight referrals were the result of patient exhibitions of severe distress in the clinic. To increase identification of distress, as well as referrals for support before patients exhibited severe distress, the National Comprehensive Cancer Network's Distress Thermometer screening tool was implemented in the clinic from June 1 through July 6, 2010. The instrument was completed by each participant during a patient encounter, followed by a review of the responses with a nurse. Referrals for support were offered by nurses when responses indicated a significant level of distress. Nurses increased identification of distress by using the instrument. In addition, referrals for support increased before patients exhibited severe distress. Nurses are positioned to improve care by identifying distress and making referrals for support.
机译：痛苦仍然是癌症患者的普遍经历。结果，在美国中西部一个大学癌症中心的乳腺癌诊所进行了一项质量改进项目。护士发现有必要在六个月的时间内增加对遇险的识别，因为他们在1,291名患者遇见期间仅转诊了八个遇险支持人员。八次转诊是由于患者在诊所出现严重困扰而引起的。为了增加对遇难者的识别，以及在患者出现严重困扰之前转介支持，2010年6月1日至7月6日在诊所中实施了国家综合癌症网络的遇难温度计筛查工具。病人遭遇，然后与护士一起复查答案。当回复显示严重困扰时，护士会提供转介。护士使用该仪器增加了对痛苦的识别。此外，在患者出现严重困扰之前，转介的支持增加了。护士可以通过识别困扰和转介支持来改善护理。

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