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應用個案管理照護模式於化學治療肺癌病人之成效

Efficacy of Case Management Care Model for Lung Cancer Patients under Chemotherapy

摘要


The purpose of this study was to investigate the efficacy of applying case management care model on lung cancer patients under chemotherapy. The study was a quasi-experimental design. Subjects were recruited from a chemotherapy unit at a medical center in northern Taiwan. Subjects were randomly assigned into experimental or control groups with each group 100 subjects. Subjects in the experimental group were provided with the case management care model, and control subjects received standard care. Assessment tools used in this study included questionnaire collecting patients' basic demographic data, nursing care scale and patients' satisfaction scale. The study results showed that there were significant differences between two groups in hospitalization length of stay, medical cost, non-planned rehospitalization within 14 days, and re-entry emergency within 3 days after discharge (0% vs 1%). Patients' satisfaction level was also different between groups. In conclusion, case management care model had positive effects on patient care. It significantly improved patients' satisfaction level and reduced medical costs. We suggested that the case management care model can be promoted and implemented for caring lung cancer patients.

並列摘要


The purpose of this study was to investigate the efficacy of applying case management care model on lung cancer patients under chemotherapy. The study was a quasi-experimental design. Subjects were recruited from a chemotherapy unit at a medical center in northern Taiwan. Subjects were randomly assigned into experimental or control groups with each group 100 subjects. Subjects in the experimental group were provided with the case management care model, and control subjects received standard care. Assessment tools used in this study included questionnaire collecting patients' basic demographic data, nursing care scale and patients' satisfaction scale. The study results showed that there were significant differences between two groups in hospitalization length of stay, medical cost, non-planned rehospitalization within 14 days, and re-entry emergency within 3 days after discharge (0% vs 1%). Patients' satisfaction level was also different between groups. In conclusion, case management care model had positive effects on patient care. It significantly improved patients' satisfaction level and reduced medical costs. We suggested that the case management care model can be promoted and implemented for caring lung cancer patients.

並列關鍵字

case management chemotherapy lung cancer

被引用紀錄


閻俊如、何謦竹、蘇家慧、溫宛虹、武香君(2018)。運用多媒體衛教提升肺癌病人化學治療認知正確率高雄護理雜誌35(1),42-56。https://doi.org/10.6692/KJN.201804_35(1).0004
邱惠英、林佑樺、王金洲、陳婉宜、張晃智、林孟志(2016)。肺癌化學治療後病人照護需求與相關因素之探討護理雜誌63(3),62-72。https://doi.org/10.6224/JN.63.3.62
游千代、馮明珠、柯乃熒(2013)。個案管理之概念分析護理雜誌60(4),99-104。https://doi.org/10.6224/JN.60.4.99

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