提升婦癌病人化學治療品質及安全性

目的：本研究旨在評估導入跨專業團隊合作之團隊資源管理(Team Resource Management, TRM)照護模式，對提升婦癌病人化學治療照護品質及病人安全之成效。方法：針對首次接受化學治療之婦癌病人，導入以跨專業團隊合作為核心之 TRM 照護模式，由護理師、營養師及藥師等跨專業團隊成員提供專業照護與衛教資訊。病人返家後，透過婦癌照護員-婦癌人工智慧照護平台（連結 Messenger）回報居家期間出現之症狀，以持續掌握病人近期治療相關副作用，並由個案管理師提供即時衛教與照護介入。結果：實際接受 TRM 照護計畫之婦癌病人比例達 94.7%。病人於兩日內接受跨專業團隊提供之專業衛教比例達 100%，平均衛教時間為 63 分鐘。病人返家後使用線上回報之比例為 84.2%，有助於個案管理師更即時發現並處理病人照護問題。結論：導入以跨專業團隊合作為基礎之團隊資源管理照護模式，可提供更專業、即時且個別化之衛教與照護，進而提升婦癌病人化學治療之照護品質與病人安全。 Purpose: This study examined the impact of implementing a multidisciplinary Team Resource Management (TRM) care model on quality and patient safety in chemotherapy care for patients with gynecologic cancer. Methods: A TRM-based care model was implemented for patients receiving chemotherapy for the first time. Multidisciplinary team members, including nurses, dietitians, and pharmacists, provided patients with profession-specific information. After discharge, patients reported symptoms experienced at home using an online platform linked to a messaging application, the Gynecologic Cancer Caregiver Artificial Intelligence Platform. The platform enabled continuous monitoring of recent treatment-related adverse effects and facilitated timely health education and care interventions by case managers. Results: The TRM care program was provided to 94.7% of patients receiving chemotherapy. Within two days, 100% of patients received profession-specific education from the multidisciplinary team, with an average education time of 63 minutes. After discharge, 84.2% of patients used the online side-effect reporting system, enabling case managers to identify patient concerns more promptly. Conclusion: A multidisciplinary TRM care model enabled the delivery of professional, timely, and personalized education, thereby improving chemotherapy care quality and patient safety for patients with gynecologic cancer.