思维导图下多学科团队干预对原发性肝癌患者术后衰弱程度和绝望水平的影响

Effect of multidisciplinary team intervention on postoperative weakness and despair in patients with primary liver cancer under mind mapping

目的分析思维导图下多学科团队干预对原发性肝癌患者术后衰弱程度和绝望水平的影响。方法选择2020年6月至2021年6月湖南师范大学附属第一医院肝胆三科行原发性肝癌手术患者170例作为研究对象,将其随机分为观察组和对照组,各85例。对照组给予常规术后护理,观察组给予思维导图下多学科团队干预,对比分析两组衰弱程度和绝望水平、营养状态和术后出现并发症。结果干预前,两组患者衰弱程度评分比较,差异无统计学意义(P>0.05);干预后,观察组患者健康状况、社会支持、自制力及情绪得分均低于对照组,差异均有统计学意义(P<0.05)。干预前,两组患者绝望水平评分差异无统计学意义(P>0.05);干预后,观察组患者对动机的丧失、对未来的感觉、对未来的期望得分均低于对照组,差异均有统计学意义(P<0.05)。两组患者干预前体重指数(BMI)、血清白蛋白比较,差异均无统计学差异(P>0.05);干预后,观察组患者BMI、血清白蛋白水平均较高,差异均有统计学意义(P<0.05)。观察组患者干预后并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论思维导图下多学科团队干预能有效减轻原发性肝癌患者术后的衰弱程度及绝望水平,同时可改善患者营养状况和降低并发症发生率。

Objective To analyze the effect of multidisciplinary team intervention under mind mapping on postoperative weakness and despair in patients with primary liver cancer.Methods A total of 170 patients who underwent primary liver cancer surgery in the Third Department of Hepatobiliary Surgery,the First Affiliated Hospital of Hunan Normal University from June 2020 to June 2021 were selected as the research objects,and randomly divided into the observation group and the control group,with 85 cases in each group.The control group received routine postoperative nursing,and the observation group received multidisciplinary team intervention under mind mapping.The degrees of weakness and despair level,nutritional status and postoperative complications were compared between the two groups.Results Before the intervention,there was no significant difference in the scores of degrees of weakness between the two groups(P>0.05).After the intervention,the scores of health status,social support,self-control and emotion in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Before the intervention,there was no significant difference in the scores of despair level between the two groups(P>0.05).After the intervention,the scores of losses of motivation,feeling of the future and expectation of future in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).There were no significant differences in body mass index(BMI)and serum protein between the two groups before intervention(P>0.05).After intervention,the levels of BMI and serum protein in the observation group were higher,and the differences were statistically significant(P<0.05).The incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Multidisciplinary team intervention under mind mapping can effectively reduce the postoperative weakness and despair level of patients with primary liver cancer,improve the nutritional status of patients and reduce the incidence of complications.