多学科团队协作护理模式在食管癌手术患者中的应用效果

Application effect of multidisciplinary team collaborative nursing model in patients with esophageal carcinoma operation

目的探究多学科团队（MDT）协作护理模式在食管癌手术患者中的应用效果，为临床食管癌手术患者提供护理依据。方法选取2010年4月～2015年4月在四川省广元市精神卫生中心行食管癌手术中患者80例．根据护理方式不同分为观察组和对照组。观察组40例进行MDT协作护理方式，对照组40例接受常规护理。对比两组患者的健康知识得分、症状自评量表（SCL－90）得分及护理满意度情况。结果实施护理4周后两组患者的健康知识得分均较人院时显著提高（P〈0．05），且观察组患者健康知识得分较对照组明显升高，差异有统计学意义（P〈0．05）；护理4周后观察组SF－36总分明显高于对照组，差异有统计学意义（P〈0．05）。观察组患者住院期间总满意度高于对照组，差异有统计学意义（P〈0．05）。结论MDT协作护理模式在食管癌手术临床治疗中效果显著，可以使患者更好地掌握健康知识，提高康复水平、生活质量和满意度。

Objective To explore the application effect of multidisciplinary team （MDT） collaborative nursing model in patients with esophageal carcinoma operation, in order to provide nursing basis for the patients. Methods 80 patients underwent esophageal carcinoma operation in Guangyuan Mental Health Center from April 2010 to April 2015 were chosen, according to the different nursing methods, patients were randomly divided into the observation group and con- trol group. 40 cases in the observation group were given MDT collaborative nursing method, 40 cases in the control group were given routine nursing care. The health knowledge score, SCL-90 score, nursing satisfaction in the two groups were compared. Results After implementation of nursing care for 4 weeks, health knowledge scores of patients in both groups were significantly improved （P 〈 0.05）, the health knowledge score in the observation group was significantly higher than that in the control group （P 〈 0.05）. The total score of SF-36 in the observation group after 4 weeks nursing was higher than that in the control group, with statistically significant difference （P 〈 0.05）. The total satisfaction degree in the ob- servation group was higher than that in the control group, with statistically significant difference （P 〈 0.05）. Conclu- sion The effect of MDT collaborative nursing model in esophageal cancer surgery treatment is remarkable, it can make patients master the health knowledge preferably, improve the rehabilitation, quality of life and satisfaction of patients.