"How are you, Hobo, is there anything uncomfortable about it?" Nurses in the oncology department ask patients about their physical condition with concern. Although he had just finished the puncture, He Bo, who was in his 70s, still happily replied: "It's all right, hehe." ”
People's impression of oncology is full of disinfectant watery corridors, skinny patients, and worried family members. Walking into the oncology department of Yunfu People's Hospital, there are neat beds in the ward, patients are either cooperating with doctors for treatment, or quietly resting, and the sun shines through the window into the ward, a clean and warm scene. It is understood that the hospital has an average annual chemotherapy patient of more than 2,000 patients and an average of more than 1,000 radiotherapy patients per year in the past three years.
Recently, the Office of the Guangdong Provincial Health Commission announced the "Notice on the Establishment of the Second Batch of Municipal and County Cancer Prevention and Control Centers", and the Oncology Department of Yunfu People's Hospital became the provincial cancer prevention and control service agency - Yunfu Cancer Prevention and Control Center. "The establishment of the center will comprehensively improve the treatment level and system management capacity of malignant tumors in Yunfu City, promote the standardized diagnosis and treatment of cancer, and improve the level of comprehensive prevention and treatment of regional cancer." Xia Xiaolin, head of the oncology department of the hospital, said.
Create a ward with "temperature" with humanistic care
In the oncology department, the mood of patients and escorts who come here is heavy. There are relatively many elderly patients in the ward of the department, and the ability to take care of themselves is poor, coupled with the factors of the epidemic, the accompanying rate is greatly reduced, so that the patient's hospital life is affected to varying degrees.
Recently, Corey came to a patient who made most of the nurses "anxious". From March 2019 to the present, Peng Bo has sought medical treatment in major hospitals in Guangzhou, and now there are new bone metastases. Not only was his condition complicated, but his temper was extremely grumpy, and he refused to insert a PICC tube (a central venous catheter through the peripheral vein), and he had phlebitis many times.
Even so, the nurse did not give up, but repeatedly tried to communicate with the patient. "I know you're uncomfortable. How can it not be uncomfortable to be sick? I was sick the other day, but I know what it's like to lie in bed! The nurse tried to persuade Pember from the perspective of empathy, "You were very capable before you got sick, but now you can't do it, you must feel anxious." If you don't cooperate, your illness will worsen. You're worse in your heart aren't you? ”
I didn't expect it to work. Pember nodded and gave a soft "Hmm" sound. The nurse then asked: "Then you listen to the doctor and nurse, I will insert a PICC tube for you, early treatment and early recovery, is it okay?" In this way, the "stubborn" Peng Bo relaxed. The nurse quickly helped him to the catheterization room and sharply performed intubation treatment for him.
It is understood that the nursing team of the oncology department of Yunfu People's Hospital is in the leading position in Yunfu City, and the PICC catheterization technology is mature, and the PICC catheterization technology began to be carried out in 2007, with about 200 cases of catheterization per year. The department has a nurse specializing in hydrotherapy, who specializes in solving difficult problems in hydrotherapy. In 2013, he established an independent catheter maintenance clinic, responsible for the pipeline maintenance and difficult problem handling of patients brought back to the pipeline by the field treatment of the hospital and the surrounding areas, with about 2400 outpatient pipeline maintenance times per year; in 2018, the new technology and new business "Application of PICC tip localization in tumor patients under ECG guidance" was carried out, which effectively reduced the complications caused by PIC catheter ectopicity; in 2019, the new technology and new business of "femoral vein PICC catheterization" was carried out. Addresses the limitations of treatment in patients with superior vena cava compression syndrome.
Advanced equipment guarantees accurate diagnosis and radiotherapy
The Department of Oncology of Yunfu People's Hospital is a key clinical specialty of Yunfu City, which is the Yunfu Cancer Regional Medical Center, the Yunfu Tumor Quality Control Center, the "Guangdong Provincial Cancer Pain Standardized Treatment Demonstration Ward", "Guangdong Province CINV (Nausea and Vomiting After Chemotherapy) Standardized Management Demonstration Ward", the Member Unit of the Greater Bay Area Liver Cancer Prevention and Control Alliance, the Member Unit of the Southern Radiotherapy Quality Management Specialist Alliance, and the Creation Unit of Multidisciplinary Diagnosis and Treatment of Digestive System Tumors (MDT).
The oncology department of the hospital is equipped with advanced radiation diagnosis and treatment equipment, which provides a full guarantee for the implementation of accurate diagnosis and accurate radiotherapy of tumors. The Department of Oncology has carried out a comprehensive clinical diagnosis and treatment business integrating radiotherapy, chemotherapy, hyperthermia, targeted therapy, immunotherapy, and symptomatic supportive therapy. The Department of Oncology and Radiotherapy carried out three-dimensional conformal radiotherapy, conformal intensity-modulated radiotherapy, etc. to implement radical and palliative radiotherapy for systemic malignancies; the Department of Oncology carried out chemotherapy, targeted therapy, immunotherapy and optimal supportive therapy, including targeted lung cancer and immunotherapy under the guidance of genes, comprehensive radiotherapy and chemotherapy for nasopharyngeal carcinoma, individualized adjuvant therapy for breast cancer under the guidance of molecular typing, personalized radiotherapy technology for breast cancer, preoperative radiotherapy and chemotherapy combined with TME in the treatment of advanced low-level rectal cancer and "no vomiting" in the advanced stage. Chemotherapy, etc. are the characteristic technologies of the department. The above technology is at an advanced level in the province and in a leading position in the city.
"We can basically do no nausea and vomiting in the chemotherapy in the ward, which is more conducive to patients receiving more standardized and standard chemotherapy regimens, so that patients can get better efficacy." Zhao Peng, deputy chief physician of the oncology department of the hospital, said, "We will also carry out standardized multidisciplinary collaborative diagnosis and treatment (MDT) for newly treated tumor patients, formulate standardized and individualized multidisciplinary comprehensive treatment plans for patients, and pay more attention to retaining normal organ functions while striving for good efficacy, and maximize the survival rate and quality of life." ”
Use close-knit help to help the development of oncology disciplines
Before the establishment of the Cancer Prevention and Control Center, the Oncology Department of Yunfu People's Hospital accepted "one-to-one" close assistance from Southern Hospital by implementing a high-level hospital cross-regional linkage project with the Southern Hospital of Southern Medical University. Since June 2021, the first batch of assistance expert teams of Nanfang Hospital have officially carried out assistance and guidance work in the hospital.
Xia Xiaolin said that to accelerate the development of oncology disciplines and improve the level of specialized medicine, teaching, research and service, the oncology department of Yunfu People's Hospital took this help as an opportunity to reach a cooperation agreement with the department of radiation therapy of Southern Hospital, invited Professor Wu Dehua's team to provide counterpart assistance to the oncology department of the hospital, and successfully applied for the provincial follow-up education project "Standardized Diagnosis and Treatment Technology for Urban and Rural Cancer Pain", and recently completed the first promotion in the oncology department of Yunan County People's Hospital.
After the Department of Oncology of Yunfu People's Hospital successfully became the Cancer Prevention and Control Center of Yunfu City, how to develop the plan for the follow-up? Zheng Haoxuan, vice president of Yunfu People's Hospital, put forward the following suggestions:
1. Actively undertake the prevention and control of tumors in the local area and other cancer prevention and control work issued by the Provincial Health Commission and the Provincial Cancer Center;
2. Formulate the implementation plan of the early diagnosis and early treatment of cancer in the region, carry out technical guidance and supervision and other management work for each project site in the jurisdiction, and promote appropriate and effective prevention and treatment technologies;
3. Actively carry out multidisciplinary diagnosis and treatment of tumor patients, and formulate standardized operation procedures for multidisciplinary diagnosis and treatment of tumors, so that every patient can get standardized diagnosis and treatment;
4. Promote the application of common cancer diagnosis and treatment norms and clinical pathways, and carry out training of diagnosis and treatment technicians to improve the homogenization level of cancer prevention and treatment;
5. Promote the mechanism of tumor cause-of-death monitoring and tumor registration follow-up sharing in the region, and regularly analyze and publish the situation and development trend of cancer disease burden in the region;
6. Establish the office of the cancer center of the hospital, set up a regional cancer prevention and treatment expert group, carry out the training of diagnosis and treatment technicians such as cancer screening, diagnosis, surgery, chemotherapy, radiotherapy, intervention, etc., and improve the ability of cancer prevention and diagnosis and treatment at the grass-roots level;
7. Carry out publicity and education on cancer prevention and treatment in the region, advocate active cancer prevention, and cultivate the anti-cancer concept of early screening, early diagnosis and early treatment of local residents;
8. Undertake other tasks assigned by provincial and municipal health administrative departments and provincial cancer centers, as well as corresponding support policies or measures, inputs, etc.;
9. Carry out early diagnosis and early treatment and cancer prevention publicity through new media, free clinics in the countryside and other forms every year, and raise the level of awareness of the masses in cancer prevention and treatment.
[Nanfang Daily, Nanfang + reporter] Wang Xie Siqi
[Correspondents] Xia Xiaolin, Huang Hanwen, Hu Lei
【Author】 Wang Xie Siqi
【Source】 Southern Press Media Group South + client
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