護理人員介入正子斷層造影檢查受檢者後續轉診追蹤之分析

Analysis of the Nursing Staff's Efforts with Follow-up and Care-giving for Examinees Undergoing PET Cancer Screening

胡鳳蘭(Feng-Lan Hu) ； 項明芬(Mincle Shiang) ； 宋淑惠(Shu-Hui Sung) ； 錢乙婷(Yi-Ting Chien) ； 鄭玉萍(Yu-Ping Cheng) ； 洪子仁(Tzu-Zin Hung) ； 陳遠光(Yen-Kung Chen) ； 廖健發(Alfred C. Liao) ； 沈業有(Yeh-You Shen) ； 蘇誠道(Chen-Tau Su)

《輔仁醫學期刊》 2卷4期 (2004/12) Pp. 283-289

摘要

背景和目的：癌症的篩檢，在於早期找出可治癒的病兆，並加以處置。正子斷層造影檢查、腹部超音波加上血液腫瘤標記被用來篩檢3149位受檢者，由於受檢者來自各地，因此護理人員之電話訪談追蹤有其必要性，祈藉此提高服務品質，了解受檢者需求。方法：本研究係針對90年2月至92年2月參與正子斷層造影中心PET健康檢查之民眾，由3位護理人員自92年5月至92年7月中旬，每日以電話問候、訪談追蹤的方式，之後形成例行工作，陸續追蹤受檢者至少都一年以上，共收集3149例PET健檢受檢者。結果：電話訪談追蹤結果除了關懷受檢者，並提升二次受檢率：每月平均增加5-10人次，以及更準確的癌症篩檢率1.43%。結論：FDG（18-氟－2-去氧葡萄糖）正子斷層造影在偵測全身癌症的靈敏度頗高，大多數被偵測的癌症是可以及早切除的。使用腹部超音波及血液腫瘤標記可以輔助正子斷層造影在偵測肝癌及攝護腺癌的不足。護理人員針對接受正子斷層造影檢查受檢者後續轉診追蹤，除了提供完整健康檢查服務品質，更可藉此了解受檢者之健康需求，維持良好的醫病關係。

關鍵字

18-氟－2-去氧葡萄糖 ； 正子斷層造影 ； 癌症篩檢

並列摘要

Background and Purpose: Cancer screening attempts to find curable lesions at an early stage of malignancy, and thus allows appropriate actions to be taken in time. Positron emission tomographic (PET) scanning, abdominal ultrasound, and serum tumor markers were used for cancer screening on 3149 patients undergoing physical checkups. Nursing staff participated in the follow up telephone interview afterwards. Methods: From May to July 2003, three members of the nursing staff followed up 3149 patients through telephone interviews who had undergone physical checkups and who had accepted PET scanning for cancer screening in our hospital from February 2001 to February 2003. Results: It was observed that the follow up telephone interview not only expressed the hospitals sincere care and concern for the examinees, but it also successfully raised the acceptance rate for a second PET scan, increasing an average of 540 cases per month and producing a more accurate cancer screening rate of l.430o. Conclusion: The 2-deoxy-2[18F]fluoro-D-glucose (FDG) PET scan shows high sensitivity for whole body cancer screening, and most cancers are curable with early treatment. With the aid of abdominal ultrasound and serum tumor markers, the limitations of PET scans in detecting liver and prostate cancers may be compensated for. Follow up services provided by professional nursing staff to those examinees who had previously accepted a PET scan in our hospital obviously complemented our physical checkup service for cancer screening, enhanced our understanding of the examinees health needs, and created entirely new and better doctor patient relationships.

並列關鍵字

FDG ； PET ； cancer screening