肿瘤医院淋巴水肿专科护理小组的建立与临床实践

目的 规范淋巴水肿专科护理方法，为患者提供专业化、同质化与系统化的淋巴水肿专科护理。方法 建立全院性淋巴水肿专科护理小组，制定小组工作职责、实施专科质量控制，进行包括专科护理门诊、分组手法引流综合消肿治疗、个案管理与延续护理、院内外问诊与会诊的临床工作与培训教学工作的规范化运行管理。结果 近3年淋巴水肿康复中心门诊量达4 550例，网络会诊量1 532例，手法引流综合消肿治疗量3 753例次;调查2 600例手法引流综合消肿治疗患者，满意度为96.84％。结论 淋巴水肿专科护理小组的运行管理模式较好地满足了淋巴水肿患者的康复需求，推进了淋巴水肿专科护理的发展。

Establishment and clinical practice of lymphedema specialist nursing group in cancer hospital

Objective To standardize the methods of lymphedema specialist nursing, and to provide specialized, homogenized and systematic lymphedema specialist nursing for patients. Methods A specialist nursing team was set up for patients with lymphedema in the whole hospital, the responsibilities of the team were established, the quality control of the specialist was implemented, and the clinical work, training and teaching work run and were managed stardardly, including specialist nursing outpatient service, group manual drainage and complete decongestive therapy, case management and extended nursing, in-hospital and out of hospital consultation. Results In the past three years, more than 4 550 outpatient visits, 1 532 network consultations and 3 753 Complete Decongestive Therapy (CDT) were conducted in the Lymphedema Rehabilitation Center. The satisfaction survey of 2 600 patients treated with CDT was 96.84%. Conclusion The management and operation mode of lymphedema specialist nursing team meets the rehabilitation needs of lymphedema patient, and promots the development of lymphedema specialized nursing.