专科门诊和多学科综合治疗门诊肺结节患者就诊特点的调查研究

发布时间：2018-06-03 00:33

本文选题：肺结节 + 多学科联合门诊　；参考：《中国全科医学》2017年36期

【摘要】：目的调查并分析综合医院专科门诊和多学科综合治疗(MDT)门诊肺结节患者的就诊特点。方法选取2016年7月—2017年4月就诊于南京医科大学附属苏州医院符合纳入标准的肺结节患者114例进行调查,将就诊于本院心胸外科、呼吸内科及肿瘤科门诊的患者记为专科组(n=73),就诊于MDT门诊的患者记为MDT组(n=41)。对每位确诊的患者进行访谈(约30 min),主要记录内容包括首诊科室、性别、首发年龄、文化程度、居住地、首诊时间(指患者自发病到就诊的时间)、家庭人均月收入、婚姻状况、既往史(肺部疾病)、就诊首要目的、对肺结节的理解程度(包含对所患疾病的理解、对相关检查的理解、对诊断的接受情况、对治疗方案的理解)、对此次就诊过程满意度。结果 114例患者均完成调查,全部进入结果分析。专科组患者各专科门诊就诊满意度间差异无统计学意义(P0.05)。两组患者在首发年龄、文化程度、居住地、首诊时间、家庭人均月收入、婚姻状况、既往史、就诊首要目的、对肺结节的理解程度、对此次就诊过程满意度上差异有统计学意义(P0.05);但在性别上差异无统计学意义(P0.05)。结论 MDT组肺结节患者较专科组患者年龄偏大、多伴有肺部疾病,对此次就诊过程满意度较好,建议肺结节患者尽可能在MDT门诊就诊,而专科组患者对肺结节认识有限,需要加大宣传力度。
[Abstract]:Objective to investigate and analyze the characteristics of pulmonary nodule in general hospital. Methods from July 2016 to April 2017, 114 patients with pulmonary nodules who met the inclusion criteria in Suzhou Hospital affiliated to Nanjing Medical University were investigated. The patients in respiratory department and oncology department were recorded as specialized group, and those in MDT outpatient department were recorded as MDT group. Interviews were conducted with each patient (about 30 mins). The main contents of the records included the first visit department, sex, first episode age, education level, residence, first visit time (mean the patient's time from onset to visit, monthly income per family, marital status, etc.) Past history (pulmonary disease, the primary purpose of the visit, the degree of understanding of pulmonary nodules (including the understanding of the disease, the understanding of the relevant examination, diagnosis of the acceptance of the understanding of the treatment plan, satisfaction with the visit process. Results all the 114 patients completed the investigation and entered the result analysis. There was no significant difference in the degree of satisfaction among the outpatients in the specialist group (P 0.05). The first age, education level, place of residence, time of first visit, monthly income per family, marital status, previous history, primary purpose, understanding of pulmonary nodule, There was a significant difference in the satisfaction of this visit process (P 0.05), but there was no significant difference between the sexes (P 0.05). Conclusion the patients with pulmonary nodules in MDT group are older than those in the special group, and most of them are accompanied by pulmonary diseases. It is suggested that the patients with pulmonary nodules should be treated in the MDT clinic as far as possible, while the patients in the special group have limited understanding of the pulmonary nodules. Greater publicity is needed.
【作者单位】：南京医科大学附属苏州医院心胸外科;
【分类号】：R563

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