The Effect of a Required 48-Hour Window to Schedule Genetic Counseling on Time From Diagnosis of Breast Cancer to Surgery.

IF 1.3 4区医学 Q3 NURSING

Clinical journal of oncology nursing Pub Date : 2024-03-15 DOI:10.1188/24.CJON.157-161

Kiera Hobbs, Peggy Wheeler, Sara Campbell, Charlie Workman, Martha Monroe, Claire Davies

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Abstract

Background: The length of time from diagnosis of breast cancer to surgery has steadily increased. Consultations and tests, in addition to a lack of available counseling programs, contribute to delays. Evidence suggests that delays between diagnosis and surgery may adversely affect patients.

Objectives: This article examines the effect of time from diagnosis of breast cancer to surgery by requiring nurse navigators to contact the genetic counseling office within 48 hours of the diagnosis to schedule an appointment for the patient as soon as possible.

Methods: Using a quasiexperimental design, data of time from diagnosis to surgery among patients with breast cancer were collected retrospectively preintervention (N = 30) and prospectively postintervention (N = 30).

Findings: Time from diagnosis to surgery decreased significantly from pre- (mean = 50.3 days, SD = 22 days) to postintervention (mean = 39 days, SD = 16 days) (t = 2.25, p = 0.03).

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要求在 48 小时内安排遗传咨询对乳腺癌从诊断到手术时间的影响。

背景：乳腺癌从确诊到手术的时间不断延长。咨询和检查，以及缺乏可用的咨询计划，都是造成延误的原因。有证据表明，从诊断到手术的延迟可能会对患者产生不利影响：本文通过要求护士导航员在确诊后 48 小时内联系遗传咨询办公室，尽快为患者安排预约时间，研究从乳腺癌确诊到手术时间的影响：采用准实验设计，在干预前（30 人）和干预后（30 人）回顾性收集乳腺癌患者从诊断到手术的时间数据：从诊断到手术的时间从干预前（平均 = 50.3 天，标准差 = 22 天）到干预后（平均 = 39 天，标准差 = 16 天）明显缩短（t = 2.25，p = 0.03）。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical journal of oncology nursing ONCOLOGY-NURSING

CiteScore

1.70

自引率

9.10%

发文量

127

审稿时长

6-12 weeks

期刊介绍： The Clinical Journal of Oncology Nursing (CJON) is an official publication of the Oncology Nursing Society (ONS) and is directed to the practicing nurse specializing in the care of patients with an actual or potential diagnosis of cancer. CJON is a vehicle to promote the mission of ONS, which is to advance excellence in oncology nursing and quality cancer care. The CJON mission is twofold: to provide practical information necessary to care for patients and their families across the cancer continuum and to develop publication skills in oncology nurses.