跨学科护理模式对甲状腺癌患者术后身体状况、情绪及满意度的影响

Effect of interdisciplinary nursing model on postoperative physical condition, mood and satisfaction of patients with thyroid cancer

目的研究跨学科护理模式对甲状腺癌术后患者的身体状况、情绪、满意度等方面的影响。 方法选取2016年3月至2017年3月入住中国医科大学附属第一医院甲状腺外科并确诊为甲状腺癌行手术切除的患者共296例。记录所有患者的一般情况,将上述患者按照是否愿意接受跨学科护理模式分为干预组184例与对照组112例。干预组接受跨学科护理模式,对照组选择普通护理模式。术后1个月评估干预组与对照组患者症状评分和满意度评分并比较。 结果 2组患者术后症状评分在幸福感、疲劳、焦虑、抑郁、疼痛、嗜睡、食欲不振、气短方面差异有统计学意义(t=1.18~3.18,P<0.05)。满意度评分比较:在感受医护人员解决了自己的担忧,对医护人员信任,感受医护人员对自己的尊重,感受医护人员的团队合作,会推荐其他患者来我院治疗方面2组差异有统计学意义(t=3.83~8.13,P<0.05)。 结论跨学科护理能够显著缓解甲状腺癌术后患者的症状,缓解焦虑抑郁,提高患者的满意度。

Objective To study the effects of interdisciplinary nursing model on physical condition, mood and satisfaction of postoperative patients with thyroid cancer.Methods A total of 296 patients who underwent thyroid surgery at the First Affiliated Hospital of China Medical University and were diagnosed with thyroid cancer were randomly selected from March 2016 to March 2017. The general situation of all patients was recorded, the above patients were divided into the intervention group and the control group according to whether they were willing to accept the interdisciplinary care model. The intervention group received an interdisciplinary care model and the control group chose a general care model. The symptom score and satisfaction score of the intervention group and the control group were evaluated 1 month after surgery.Results Postoperative symptom scores in the two groups were statistically different between happiness, fatigue, anxiety, depression, pain, lethargy, loss of appetite, and shortness of breath (t=1.18-3.18, P<0.05). Satisfaction rating reminder: After feeling the medical staff to solve their own concerns, trust the medical staff, feel the respect of the medical staff, feel the teamwork of the medical staff, and recommend other patients to our hospital for treatment (t=3.83-8.13, P<0.05).Conclusions Interdisciplinary care can significantly alleviate the symptoms of postoperative patients with thyroid cancer, relieve anxiety and depression, and improve patient satisfaction.