Abstract：
OBJECTIVE: Breast units led by nurse case managers are being implemented to provide comprehensive care in the detection and treatment of breast cancer. However, their implementation is heterogeneous and the results of the care process with this professional have not been studied. The aim of the study is to describe the management in time and the approach of the process by a nurse case manager in the breast unit of women with suspected breast cancer pathology, derived from the breast cancer screening program.
METHODS: Descriptive, cross-sectional, retrospective study carried out in 2021. Women treated in a breast unit managed by a nurse case manager in a hospital in southern Spain were included. Sociodemographic, clinical and care process characteristics were analysed RESULTS: A total of 118 women of Spanish nationality (92%) participated, with a mean age of 59 years. The diagnosis of malignancy was made in 74.6% of them. Seventy-nine percent of the women had their first visit within 3 days. The mean time to diagnosis was 3.98 days (SD: ±3.93), 4.2 weeks (SD: ±1.84) to initiate treatment and a total in-hospital time of 33 days (SD: ±13.45).
CONCLUSIONS: The management of nurse case managers in breast units contributes to improving or speeding up times, in accordance with international guidelines, helping this approach in the continuity of the care process for women referred after screening for breast cancer detection.
METHODS: Descriptive, cross-sectional, retrospective study carried out in 2021. Women treated in a breast unit managed by a nurse case manager in a hospital in southern Spain were included. Sociodemographic, clinical and care process characteristics were analysed RESULTS: A total of 118 women of Spanish nationality (92%) participated, with a mean age of 59 years. The diagnosis of malignancy was made in 74.6% of them. Seventy-nine percent of the women had their first visit within 3 days. The mean time to diagnosis was 3.98 days (SD: ±3.93), 4.2 weeks (SD: ±1.84) to initiate treatment and a total in-hospital time of 33 days (SD: ±13.45).
CONCLUSIONS: The management of nurse case managers in breast units contributes to improving or speeding up times, in accordance with international guidelines, helping this approach in the continuity of the care process for women referred after screening for breast cancer detection.
摘要：
目的：正在实施由护士病例经理领导的乳腺部门，以在乳腺癌的检测和治疗中提供全面的护理。然而,它们的实施是不同的，并且尚未研究该专业人员的护理过程的结果。该研究的目的是描述由一名护士病例经理在怀疑患有乳腺癌病理的妇女的乳腺单元中及时管理和过程的方法，来自乳腺癌筛查计划。
方法：描述性，横截面,2021年进行的回顾性研究。包括在西班牙南部一家医院的护士病例经理管理的乳腺病房中接受治疗的妇女。社会人口统计学，临床和护理过程的特点进行了分析。结果：共有118名西班牙籍妇女（92%）参加，平均年龄59岁.其中74.6%诊断为恶性肿瘤。79%的女性在3天内进行了首次访问。平均诊断时间为3.98天(SD:+3.93),4.2周（SD：+1.84）开始治疗和33天的总住院时间（SD：+13.45）。
结论：对乳腺病房的护士个案管理者的管理有助于改善或加快时间，根据国际准则，帮助这种方法在乳腺癌筛查后转诊的妇女的护理过程的连续性。
方法：描述性，横截面,2021年进行的回顾性研究。包括在西班牙南部一家医院的护士病例经理管理的乳腺病房中接受治疗的妇女。社会人口统计学，临床和护理过程的特点进行了分析。结果：共有118名西班牙籍妇女（92%）参加，平均年龄59岁.其中74.6%诊断为恶性肿瘤。79%的女性在3天内进行了首次访问。平均诊断时间为3.98天(SD:+3.93),4.2周（SD：+1.84）开始治疗和33天的总住院时间（SD：+13.45）。
结论：对乳腺病房的护士个案管理者的管理有助于改善或加快时间，根据国际准则，帮助这种方法在乳腺癌筛查后转诊的妇女的护理过程的连续性。
