CAJ | 학술논문

目的评估护理个案管理对癌症患者护理质量的有效性。方法实验组采用个案护理方式，对照组采用常规护理方式。比较两组患者护理的效果，包括患者持续治疗率、非持续治疗率、长期住院率、非计划再入院率和计划入院进行积极治疗率。专家评估效用达到0.9。结果护理个案管理能更好地为患者提供治疗的及时性和连续性。护理个案管理明显降低了感染引起的非计划性再入院率。患者持续治率疗显著增加。计划入院进行积极治疗率在14天和15～30天内也增加明显。结论癌症个案管理能提高癌症护理服务的效果，这种护理模式将在进一步应用和改善癌症护理上得到完善。
목적평고호리개안관리대암증환자호리질량적유효성。방법실험조채용개안호리방식，대조조채용상규호리방식。비교량조환자호리적효과，포괄환자지속치료솔、비지속치료솔、장기주원솔、비계화재입원솔화계화입원진행적겁치료솔。전가평고효용체도0.9。결과호리개안관리능경호지위환자제공치료적급시성화련속성。호리개안관리명현강저료감염인기적비계화성재입원솔。환자지속치솔료현저증가。계화입원진행적겁치료솔재14천화15～30천내야증가명현。결론암증개안관리능제고암증호리복무적효과，저충호리모식장재진일보응용화개선암증호리상득도완선。
Objective To evaluate the ef ectiveness of care quality in cancer patients with nurse case management. Methods Experimental group gave nurse case management. Control group received routine care. Compared two groups of patients with the rates of patient continuing treatment,non-adherence to treatment,prolonged hospitalization, unplanned readmission,and planned admission for active treatment,to measure care ef ectiveness. The content validity of expert was assessed as 0.9. Results The nurse case management provided better control in timeliness and continuity of patient treatment. The nurse case management significantly decreased the unplanned readmission rate caused by infection. The rate of patient continuing treatment significantly increased in the case managed group. The planned admission rates in 14 days and in 15-30 days for active treatment also significantly increased in the case managed group. Conclusion Cancer case management could improve the ef ectiveness of cancer care services . The model could be optimized for further application and improvement of cancer care.