目的 探索并构建符合肿瘤专科医院特色的淋巴水肿高级护理实践模式。 方法 基于Brown高级护理实践模式，构建岗位，确定高级护理实践范畴，明确专科护士核心能力，开展淋巴水肿高级护理实践并进行评价。 结果 门诊就诊患者逐年增多，本院患者中0期患者占比逐年增高。高级护理实践团队逐步壮大，成员对淋巴水肿高级护理实践满意度为94.12%。 结论 淋巴水肿高级护理实践有利于淋巴水肿患者全程管理，利于专科护理人才的培养。

Objective To explore and construct an advanced practice nursing model for lymphedema which conforms to the characteristics of cancer specialized hospitals.Methods Posts related to the nursing model were constructed based on Brown advanced practice nursing model,the scope of advanced practice nursing was determined,the core competence of these nurses was defined,and the advanced practice nursing of lymphedema was implemented and evaluated.Results The number of outpatient patients was increasing year by year and the proportion of patients with stage 0 in our cancer center was increasing.The team of specialist clinics was scaled up and the satisfaction with advanced nursing practice for lymphedema was 94.12%.Conclusions Advanced practice nursing for lymphedema is conducive not only to the whole management of the patients,but also to the training of specialized nursing talents.

R47

上海市地方高水平大学建设-循证护理创新研究院多中心循证创新实践项目（FNDGJ201905）