广州医药2025，Vol.56Issue(10)：1433-1439,7.DOI:10.20223/j.cnki.1000-8535.2025.10.017
基于区域专科联盟的联盟医院淋巴水肿专科干预小组建立与实践
Establishment and practice of a lymphoedema specialty nursing team in alliance hospitals based on a regional specialty alliance
摘要
Abstract
Objective To explore effective strategies for establishing a lymphoedema specialty nursing team within alliance hospitals based on a regional specialty alliance and assess its impact on patient care outcomes.Methods A regional lymphedema specialty nursing team was established by training 20 healthcare professionals from 7 hospitals(Deyang City People's Hospital,Guanghan People's Hospital,Luojiang People's Hospital,Guanghan Maternal and Child Health Hospital,Deyang Tumor Hospital,Zhongjiang Maternal and Child Health Hospital,and Shifang Maternal and Child Health Hospital)in a regional medical consortium,focusing on lymphedema knowledge and intervention skills.The team's responsibilities and nursing quality control protocols were standardized.The observation group included data from May to August in 2024(post-intervention period),while the control group comprised data from January to April in 2024(pre-intervention period).Comparisons were made between the two groups regarding healthcare professionals'qualification rate in lymphedema knowledge,inpatients'lymphedema risk screening rate,implementation rate of preventive measures for high-risk patients,upper extremity function assessment scores(using the Disabilities of the Arm,Shoulder and Hand[DASH]scale)at discharge and 1-month post-discharge,and patient satisfaction.Results After the intervention,healthcare professionals'lymphedema knowledge scores significantly improved across all domains:basic knowledge(17.36±2.54 vs 11.35±2.29),diagnosis/assessment(25.66±4.34 vs 17.87±3.18),treatment/management(25.08±4.73 vs 18.28±3.85),prevention/rehabilitation(15.36±2.53 vs 10.39±2.24),and total score(85.36±8.52 vs 55.35±7.56)(t=7.859,P＜0.001;t=6.475,P＜0.001;t=4.986,P＜0.001;t=6.578,P＜0.001;t=11.782,P＜0.001).The observation group demonstrated a higher lymphedema risk screening rate(80.72%vs 61.24%,χ2=31.454,P＜0.001).DASH scores in the observation group were significantly lower than the control group at discharge(23.36±8.63 vs 25.32±9.16)and 1-month post-discharge(20.16±7.34 vs 22.25±7.67)(t=2.884,P=0.004;t=3.646,P=0.001).Patient satisfaction scores at discharge were higher in the observation group(83.36±8.63 vs 71.37±10.33,t=16.460,P＜0.001).Conclusions The lymphoedema specialty nursing team in alliance hospitals based on a regional specialty alliance effectively facilitates the high-quality nursing resources homogenization in primary hospitals.Within the alliance,it achieves homogenization of lymphoedema prevention and treatment,establishes a training base for specialty talents,and overall enhances lymphoedema prevention and control within the region,thereby improving patient satisfaction with healthcare.关键词
区域专科联盟/淋巴水肿/专科干预小组/建立/实践Key words
regional specialty alliance/lymphoedema/specialty nursing team/establishment/practice引用本文复制引用
孙娟,陈国英,陶晨,王小为,曹雪梅,李丹,邓小娇,邓晓蓉,段秀丽,杨正君,马俊..基于区域专科联盟的联盟医院淋巴水肿专科干预小组建立与实践[J].广州医药,2025,56(10):1433-1439,7.基金项目
四川省基层卫生事业发展研究中心课题(SWFZ24-C-105) （SWFZ24-C-105）
