Academic Journal of Medicine & Health Sciences, 2024, 5(10); doi: 10.25236/AJMHS.2024.051002.
Ruimei Jia1, Nina Xie2, Yue Li3, Yu Zhang4
1School of Nursing, Shaanxi University of Chinese Medicine, Xianyang, Shaanxi Province, 712046, China
2School of Nursing, Shaanxi University of Chinese Medicine, Xianyang, Shaanxi Province, 712046, China
3First Department of Internal Medicine, Shaanxi Cancer Hospital, Xi’an, Shaanxi Province, 710061, China
4Shaanxi Cancer Hospital, No. 309, Yanta West Road, Xi'an City, Shaanxi Province, China
The aim of this study is to objectively understand the current situation of hospital management of lung cancer patients, analyze the deficiencies and possible reasons of doctors and nurses in managing lung cancer patients, and explore effective methods to solve the problems. A questionnaire was designed to investigate the current status of medical and nursing work for lung cancer patients. The questionnaire was based on the work experience of foreign lung cancer case managers. The aim was to understand the management of medical and nursing care for lung cancer patients. The survey results indicate that the management of risk factors, complications, nutrition, discharge, continuity of care, and doctor-patient communication for lung cancer patients is at a middle to lower level. The reasons for this are that patients do not prioritize the disease, lack health knowledge, and healthcare personnel have insufficient manpower and time. To improve patient management, it is suggested to establish collaboration between doctors, nurses, communities, and families, as well as specialized personnel. The highest proportion of healthcare workers believed that the establishment of doctor-nurse-community-family and full-time staff synergy could better manage lung cancer patients. A case manager can fill the gap in the current situation of inadequate lung cancer health care management, filling in the gaps in health care and performing the roles of needs assessment, program coordination, service management oversight, resource development and caregiving counseling and education.
Lung Cancer, Case Management, Humanistic Care, Management status
Ruimei Jia, Nina Xie, Yue Li, Yu Zhang. Exploring the Intervention Space of Case Managers from the Current Situation of Hospital Management for Lung Cancer Patients. Academic Journal of Medicine & Health Sciences (2024), Vol. 5, Issue 10: 8-13. https://doi.org/10.25236/AJMHS.2024.051002.
[1] SUNGH, FERLAY J, SIEGEL R L, et al. Global cancer statistics 2020: global cancer estimates of incidence and mortality worldwide for 36 cancers in 185 countries[J]. CA Cancer J Clin, 2021, 71(3): 209-249.
[2] Lv YY, Li S. Clinical practice of case management model in disease management[J]. China Nursing Management, 2018, 18(7):970-973.
[3] Ping F, Wang BL, Jin DY. Impact of case management-based personalized care and end-of-life care on patients with advanced primary liver cancer[J]. China Cancer Clinics and Rehabilitation, 2022, 29(10):4.
[4] Qin MZ. Application of case management nursing model in the extended care of oncology PICC tube placement patients during the chemotherapy interval[J]. Chinese Science and Technology Journal Database (full text version) Medicine and Health, 2023.
[5] Xing WJ, Huang JL, Lu ZQ, et al. Effectiveness of case management nursing practice in improving the quality of life of breast cancer patients [J]. Chinese Journal of Nursing, 2011. DOI:CNKI: SUN: ZHHL. 0.2011-11-000.
[6] GORSUCH RL. Exploratory factor analysis: Its role in item analysis [J]. J Pers Assess, 1997,68(3):532-560.
[7] Yan X, Zhang ZX. Publication of the Theory and Practice of Continuing Nursing Care for Oncology Patients: Analysis of the clinical value and satisfaction of continuing nursing care used in chemotherapy care for lung cancer[J]. Journal of Interventional Radiology, 2023, 32(2):I0007.
[8] He Y, Liu AK, Yang D, Hu L, Chen WJ. Meta-analysis of extended care needs of stroke patients[J]. Geriatrics Research, 2023, 4(3):28-36
[9] WOODWARDJ, RICE E. Case management[J].The Nursing Clinics North America,2015,50(1):109-121. DOI: 10. 1016/ j.cnur.2014.10.009.
[10] CohenEL, CestaTG. Critical pathways to desirable outcomes. Nursing Management[J]. Nursing Case management, 2005, 22(3):5255.
[11] Standards of practice for case management. Case Management Society of America; 2010. p. 1–27. Available at: http://www.cmsa.org/portals/0/pdf/ member only/standards of practice.pdf. Accessed August 1, 2014.