多学科诊疗模式协作的延续护理对癌痛患者自我护理能力及心理状态的影响

The Influence of MDT Cooperative Continuous on Self-care Ability and Mental State of Cancer Pain Patients

目的:探讨多学科诊疗模式(MDT)协作的延续护理对癌痛患者自我护理能力及心理状态的影响。方法:选择2018年1月—2020年1月于河南科技大学第一附属医院治疗的癌痛患者186例,按随机数字表法分为两组,每组各93例。对照组实施常规护理,观察组实施MDT协作的延续护理。对比分析两组癌痛患者疼痛程度、心理状态及自我护理能力。结果:干预1个月后观察组疼痛程度轻于对照组,差异有统计学意义(P<0.05);干预前两组自我护理能力评分比较,差异无统计学意义(P>0.05);干预后两组自我护理能力评分高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05);观察组焦虑、抑郁评分低于对照组,差异有统计学意义(P<0.05)。结论:MDT协作的延续护理能够减轻癌痛患者疼痛感,提高其自护能力,减少患者不良情绪,有助于改善预后。

Objective:To explore the influence of MDT cooperative continuous on self-care ability and psychological state of cancer pain patients.Methods:186 patients with cancer pain treated in the hospital from January 2018 to January 2020 were ran⁃domly divided into two groups,with 93 cases in each group.The control group was given routine nursing,while the observation group was given MDT cooperation.The pain degree,mental state and self-care ability of the two groups were compared and ana⁃lyzed.Results:After one month of intervention,the pain degree of the observation group was lighter than that of the control group,the difference was statistically significant(P<0.05).Before the intervention,there was no statistically significant difference in the scores of self-care ability between the two groups(P>0.05).After the intervention,the self-care ability scores of the two groups were higher than before the intervention,and the observation group was higher than the control group,the difference was statistical⁃ly significant(P<0.05).The anxiety and depression scores of the observation group were lower than those of the control group,and the difference was statistically significant(P<0.05).Conclusion:MDT cooperative continuous nursing can reduce the pain of can⁃cer pain patients,improve their self-care ability,reduce the adverse emotions of patients,and help to improve the prognosis.