基于穆泽尔模型的全程化护理模式对胸外科食管癌手术患者不良情绪、±从性及营养状况的影响

Effects of whole-course nursing mode based on Muetzel's Model on bad mood,compliance and nutritional status of patients with esophageal cancer in thoracic surgery

【目的】探讨基于穆泽尔模型的全程化护理模式对胸外科食管癌手术患者不良情绪、依从性及营养状况的影响。【方法】将本院在2019年6月至2020年6月收治的食管癌患者86例作为研究对象,随机分为对照组43例,观察组43例。对照组实施全程化护理模式,观察组实施基于穆泽尔模型的全程化护理模式。采用EORCT QLQ-C30中文版量表评价患者生活质量、焦虑自评量表(SAS)评价患者焦虑评分、抑郁自评量表(SDS)评价患者抑郁评分,比较两组患者临床指标、营养状况以及治疗依从性。【结果】观察组排便、肛门排气、卧床及进食所用的时间均小于对照组(P<0.05);护理后观察组SAS和SDS评分均低于对照组(P<0.05);护理后观察组躯体功能、认知功能、角色功能、情绪功能、社会功能以及总生活质量评分均高于对照组(P<0.05);护理后两组前白蛋白(PA)、视黄醇结合蛋白(RBP)、铁蛋白(SF)及转铁蛋白(TRF)水平均升高,且观察组升高趋势更明显(P<0.05);观察组观察组治疗依从性为95.35%高于对照组76.74%(P<0.05)。【结论】基于穆泽尔模型的全程化护理模式可改善患者的不良情绪、营养状况,提高其治疗依从性。

【Objective】To explore the effects of whole-course nursing mode based on Muetzel's Model on bad mood,compliance and nutritional status of patients with esophageal cancer in thoracic surgery.【Methods】Eighty-six patients with esophageal cancer in our hospital from June 2019 to June 2020 were selected as the subjects and randomly divided into control group(43 cases)and observation group(43 cases).The control group was given the whole-course nursing mode,and the observation group was given the whole-course nursing mode based on Muetzel's Model.EORCT QLQ-C30 was used to evaluate the quality of life,SAS was used to evaluate the anxiety score,SDS was used to evaluate the depression score,and the clinical indexes,nutritional status and treatment compliance of the two groups were compared.【Results】The time of defecation,anal exhaust,lie in bed and eating in the observation group was less than that in the control group(P<0.05);after nursing,the SAS and SDS scores of the observation group were lower than those of the control group(P<0.05);after nursing,the scores of physical function,cognitive function,role function,emotional function,social function and total score of quality of life in the observation group were higher than those in the control group(P<0.05);after nursing,the levels of prealbumin(PA),retinol binding protein(RBP),ferritin(SF)and transferrin(TRF)increased in both groups,and the increasing trends in the observation group were more obvious(P<0.05);the treatment compliance of the observation group was 95.35%,which was higher than 76.74%of the control group(P<0.05).【Conclusion】The whole-course nursing mode based on Muetzel's Model can improve the patients'bad mood,nutritional status and treatment compliance.