绑定式医护同组管理模式改善食管癌放疗患者放射性食管炎的效果观察

Effects of doctor-nurse-patient integration management mode on the efficacy of radiotherapy in patients with radiation esophagitis

目的观察绑定式医护同组管理模式改善食管癌放疗患者放射性食管炎(RE)的效果,为临床干预提供参考依据。方法将接受放疗且并发RE的100例食管癌患者按护理管理模式不同分为观察组(绑定式医护同组管理模式,n=41)与对照组(常规责任制护理管理模式,n=59),比较两组患者RE改善情况、RE持续时间,并采用卡氏功能状态(KPS)评分评价患者健康状况,健康调查简表(SF-36)评价生活质量。结果观察组疗效优于对照组,总有效率高于对照组,差异均有统计学意义(P﹤0.05)。观察组患者RE持续时间为(23.50±4.63)d,短于对照组的(27.20±4.19)d,差异有统计学意义(P﹤0.05)。干预前,两组患者KPS评分比较,差异无统计学意义(P﹥0.05);干预后3周、6周时观察组KPS评分均明显高于对照组,差异均有统计学意义(P﹤0.01)。干预前,两组患者SF-36量表各维度评分比较,差异均无统计学意义(P﹥0.05);干预后,观察组患者SF-36量表各维度评分均高于对照组,差异均有统计学意义(P﹤0.05)。结论对于食管癌放疗患者,实施绑定式医护同组管理可获得更佳的RE疗效获益,更利于RE症状缓解,维持患者良好的健康状况及生活质量,值得临床重视。

Objective To observe the effects of doctor-nurse-patient integration management mode in improving the efficacy for radiation esophagitis(RE)in patients undergoing radiotherapy,so as to generate evidence for clinical intervention.Method The clinical data of 100 patients with esophageal cancer who underwent radiotherapy were included in the analysis as study group(with doctor-nurse-patient integration management mode-based nursing care,n=41)and control group(with routine nursing management,n=59)according to the nursing interventions given.The improvement of RE,duration of RE were recorded and compared between the two groups,besides,the health status and quality of life of patients were evaluated by Karnofsky performance scale(KPS)and 36-item short form survey(SF-36),respectively.Result Better efficacy results were observed in study group than in control group,and the differences were of statistical significance(P<0.05).The duration of RE in study group was(23.50±4.63)d,which was shorter than the(27.20±4.19)d in control group,with statistically significant differences observed(P<0.05).There was no significant difference in KPS score or SF-36 score between the two groups before intervention(P>0.05);while both scores were significantly improved in study group after 3 and 6 weeks of intervention compared to control group(P<0.05).Conclusion The doctor-nurse-patient integration management mode-based nursing care is conductive to gaining more benefit for patients with radiation-induced esophagitis undergoing radiotherapy,and may help relieverelated symptoms,maintaining good health status and quality of life.