摘要
目的分析基于多学科协作(MDT)的预见性护理干预在原发性肝癌(PLC)化疗患者中的应用效果。方法选择2021年1月至2023年4月我院诊治的200例PLC化疗患者,均开展肝动脉栓塞化疗术(TAcE)治疗,采用随机数字表将患者分为MDT组(采用MDT干预,n=66)、预见性护理组(采用预见性护理,n=66)及联合护理组(基于MDT的预见性护理,n=68),记录三组患者疼痛情况[简化麦吉尔疼痛(SF-MPQ)]、睡眠质量[总体睡眠障碍(GSDS)]、治疗依从性[治疗依从性量表(ARS)]、生活质量[癌症患者生命质量测定量表(QLQC-30)]、疲劳评分[疲劳评定量表(FAS)]、以及并发症情况。结果护理后三组SF-MPQ、GSDS、ARS及FAS评分均明显降低,其中联合护理组各项评分显著低于MDT组与预见性护理组(P<0.05);三组QLQC-30评分明显升高,且联合护理组>MDT组>预见性护理组(P<0.05);联合护理组并发症总发生率(2.94%)显著低于MDT组(15.15%)与预见性护理组(12.12%),差异有统计学意义(P<0.05)。结论基于MDT的预见性护理干预对PLC化疗患者的干预效果较好,可促进患者机体恢复效果,进一步减少并发症发的发生,强化机体健康状态,促进其恢复,可推广应用。
Objective To analyze the application effect of predictive nursing intervention based on multidisciplinary collaboration(MDT)in patients with primary liver cancer(PLC)undergoing chemotherapy.Methods A total of 200 PLC chemotherapy patients treated in our hospital from January 2021 to April 2023 were selected.All patients were treated with hepatic artery embolization chemotherapy(TAcE).The patients were divided into a MDT group(n=66),a predictive nursing group(n=66)and a combined care group(n=68)according to random number table method.The MDT group was treated with MDT intervention.The predictive nursing group was treated with predictive nursing.The combined care group was treated with predictive care based on MDT.Pain estimated by Simplified McGill Pain(SF-MPQ),sleep quality estimated by Overall Sleep Disorder(GSDS),treatment compliance estimated by Treatment Compliance Scale(ARS),quality of life estimated by QLQC-30 for cancer patients,fatigue score estimated by Fatigue Rating Scale(FAS),and complications were recorded in the three groups.Results After nursing,the scores of SF-MPQ,GSDS,ARS and FAS of the three groups were significantly decreased,and the scores of the combined nursing group were significantly lower than those of the MDT group and the predictive nursing group(P<0.05).After nursing,the QLQC-30 score of the three groups was significantly increased,and the combined nursing group>MDT group>predictive nursing group(P<0.05).The total complication rate of the combined nursing group was 2.94%that was significantly lower than 15.15%of the MDT group and 12.12%of the predictive nursing group(P<0.05).Conclusions The predictive nursing intervention based on MDT has a good in-tervention effect on PLC chemotherapy patients.It can promote the recovery effect of patients,further reduce the occurrence of compli-cations,strengthen the health state of the body and promote its recovery.It can be widely applied.
作者
陈月
徐慧
周晓凯
CHEN Yue;XU Hui;ZHOU Xiao-kai(The Fifth Ward of Hepatobiliary Pain,Jiangsu Provincial People's Hospital,Nanjing 211100,China)
出处
《实用医院临床杂志》
2024年第3期107-111,共5页
Practical Journal of Clinical Medicine
基金
江苏省卫生健康委科研基金资助项目(编号:H2019108)。
关键词
基于多学科协作的预见性护理干预
原发性肝癌化疗患者
应用研究
护理质量
Predictive nursing intervention based on multidisciplinary collaboration
Patients with primary liver cancer undergoing chemotherapy
Applied research
Nursing quality
