MDT式延伸护理在子宫颈癌术后化疗患者中的应用

Application of MDT Extended Nursing in Patients with Postoperative Chemotherapy for Cervical Cancer

目的:探讨多学科团队协作(multi-disciplinary team,MDT)式延伸护理在子宫颈癌术后化疗患者中的应用。方法:选取2021年1-6月麻城市人民医院收治的子宫颈癌术后化疗患者108例。依据入院顺序将其分为观察组及对照组,各54例。对照组给予常规护理,观察组在对照组的基础上给予MDT式延伸护理。比较两组护理前及护理3个月后生活质量、细胞因子水平、不良情绪,护理3个月后治疗依从性。结果:护理3个月后,观察组认知、情绪、躯体、社会功能、角色、疼痛、疲劳、恶心呕吐评分均高于对照组(P<0.05)。护理3个月后,观察组5-羟色胺(5-HT)及脑源性神经营养因子(BDNF)水平均高于对照组(P<0.05)。护理3个月后,观察组焦虑自评量表(SAS)及抑郁自评量表(SDS)评分均低于对照组(P<0.05)。护理3个月后,观察组治疗依从性优良率高于对照组(P<0.05)。结论:给予子宫颈癌术后化疗患者MDT式延伸护理有利于调节患者5-HT及BDNF水平,缓解患者的不良情绪,提高患者的生活质量及治疗依从性。

Objective:To explore the application of multi-disciplinary team (MDT) extended nursing in patients with postoperative chemotherapy for cervical cancer.Method:A total of 108 patients with postoperative chemotherapy for cervical cancer admitted to Macheng People’s Hospital from January to June 2021 were selected.According to the order of admission,they were divided into observation group and control group,54 cases in each group.The control group was given routine nursing,and the observation group was given MDT extended nursing on the basis of the control group.The quality of life,cytokine level,bad mood before and after 3 months of nursing and treatment compliance after 3 months of nursing of the two groups were compared.Result:After 3 months of nursing,the scores of cognition,emotion,body,social function,role,pain,fatigue,nausea and vomiting in the observation group were higher than those in the control group (P<0.05).After 3 months of nursing,the levels of 5-hydroxytryptamine (5-HT) and brain-derived neurotrophic factor (BDNF) in the observation group were higher than those in the control group (P<0.05).After 3 months of nursing,the scores of self rating anxiety scale (SAS) and self rating depression scale (SDS) in the observation group were lower than those in the control group (P<0.05).After 3 months of nursing,the excellent and good rate of treatment compliance in the observation group was higher than that in the control group (P<0.05).Conclusion:MDT extended nursing for patients with postoperative chemotherapy for cervical cancer is beneficial to regulate the levels of 5-HT and BDNF,alleviate the bad emotions of patients,and improve the quality of life and treatment compliance of patients.