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題名:提升某區域醫院口腔黏膜篩檢異常個案回診率
書刊名:護理雜誌
作者:林湘琪鄭碧薇
作者(外文):Lin, Hsiang-chiCheng, Pi-wei
出版日期:2014
卷期:61:2(附冊)
頁次:頁24-32
主題關鍵詞:口腔癌口腔黏膜篩檢個案回診率Oral cancerOral mucosal screeningFollow-up rate
原始連結:連回原系統網址new window
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  • 共同引用共同引用:9
  • 點閱點閱:114
背景:國民健康署針對口腔癌高危險群提供口腔黏膜篩檢,希望能早期發現及治療,但異常個案回診率偏低,使得口腔癌的死亡率仍持續上升。目的:提升本院口腔黏膜篩檢異常個案回診率。解決方法:經由現況分析發現民眾認知不足、回診不便、醫護人員未宣導和經濟等因素,導致個案不願回診。故自2012年6月至10月提出改善措施如下:設置專屬個管師、修訂口腔篩檢和異常個案追蹤流程與建議異常轉介、邀請醫護人員加入宣導、增加衛教內容及製作衛教單張等。結果:本院口腔黏膜篩檢異常個案回診率由64.2%提升到95.3%。結論:專案實施後,有效地提升異常個案回診率,落實了早期發現及治療的目的,值得推廣於口腔癌防治工作。
Background & Problems: The Bureau of Health Promotion provides oral mucosal screening services for those at high-risk of oral cancer in order to detect and treat early-stage oral cancer. However, the low rate of follow up for abnormal cases been associated with a rising mortality rate.Purpose: This project seeks to improve the follow-up rate of patients with abnormal oral mucosal diagnoses at our hospital.Resolutions: We analyzed the current data and found that reasons for poor follow up included: patients' lack of knowledge, inconvenience in accessing the hospital, unwillingness to pay additional fees, and inadequate health education from healthcare providers. Therefore, we proposed several action measures that were developed between June and October 2012. These measures included: designating healthcare staff for oral mucosal screening, improving procedures in oral mucosal screening, tracking and referral of abnormal cases, encouraging medical staff to provide more health education in clinical sessions, and increasing distribution of health-education materials.Result: After implementation, the follow-up rate for abnormal oral mucosal cases in our hospital increased from 64.2% to 95.3%.Conclusion: This project significantly improved the follow-up rate for abnormal oral mucosal cases as part of our overall goal of the early detection and treatment of oral cancer.
期刊論文
1.蔡美惠、葉朱實、陳淑怡、陳小蓮(20080800)。應用個案管理模式提昇子宮頸抹片篩檢異常個案之回診追蹤率。志為護理--慈濟護理雜誌,7(4),99-108。  延伸查詢new window
2.孫嘉玲、余逸嫻、林雨潔、吳素綿、涂雅玲、袁淑玉、羅文硯、呂儀君(20051200)。多媒體教育課程在嚼檳榔族群對嚼檳榔行為及口腔癌篩檢之成效。元培學報,12,79-90。  延伸查詢new window
3.梁錦榮(20030900)。高雄榮總門診患者對口腔癌認知的研究。中華民國口腔顎面外科學會雜誌,14(2),97-104。  延伸查詢new window
4.蔡美惠、陳玄祐、吳哲輝、劉佩芬、蘇億玲(20101200)。提昇牙科門診病人口腔黏膜篩檢率。腫瘤護理雜誌,10(2),69-85。  延伸查詢new window
5.衛生福利部(20120829)。民國100年死因統計年報。  延伸查詢new window
6.Downer, M. C.、Moles, D. R.、Palmer, S.、Speight, P. M.(2004)。A systematic review of test performance in screening for oral cancer and precancer。Oral Oncology,40(3),264-273。  new window
7.曾月霞(20040200)。中年人健康行為之探討。護理雜誌,51(1),20-24。new window  延伸查詢new window
8.沈婉平、呂昌明、游麗惠、高毓秀、黃久美(20101200)。運用健康信念模式探討成年民眾的口腔黏膜健康檢查行為意圖及相關因素。健康生活與成功老化學刊,2(1),12-25。  延伸查詢new window
學位論文
1.洪玉龍(2011)。影響口腔癌篩檢行為之預測因子研究(碩士論文)。慈濟大學,花蓮市。  延伸查詢new window
2.蔡美珍(2009)。屏東縣偏遠地區口腔癌篩檢陽性個案未轉介成功之因素探討(碩士論文)。高雄醫學大學。  延伸查詢new window
其他
1.國民健康署(200911)。第二期圓家癌症防治計畫,http://www.hpa.gov. tw/BHPNet/Web/Health-Topic/TopicBulletin.aspx?id=200712250207&parentid= 200712250030。  延伸查詢new window
2.國民健康署(20100120)。把握癌症治療時機擴大篩檢服務範圍,http://health99.hpa.gov.tw/Box2/Cancer/news.aspx。  延伸查詢new window
3.(20120628)。四癌篩檢率,http://pfp.hpa.gov.tw/Security/ Login.aspx?target=/。  new window
4.劉崇基(2004)。口腔癌治療,http://www.aoms.org.tw/member/academic/academic03/chapter6.pdf。  new window
 
 
 
 
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