多学科团队协作护理对喉癌术后患者的康复作用

Effect of multidisciplinary team collaborative nursing on the rehabilitation of postoperative patients with laryngeal cancer

目的探究在喉癌术后患者中采取多学科团队(MDT)协作护理的价值。方法选取江西省肿瘤医院2020年4月—2021年4月收治的喉癌手术患者90例为研究对象,按照组间基本特征具有可比性的原则将喉癌手术患者分为观察组与对照组,每组45例,对照组实施常规护理,观察组在对照组基础上实施MDT协作护理。比较两组患者生活质量、心理状态、不良事件发生率及吞咽功能和护理满意程度。结果MDT协作护理干预前,两组生活质量核心问卷(EORTC QLQ-C30)评分比较差异无统计学意义(P>0.05);干预后6个月,观察组EORTC QLQ-C30各项评分均高于对照组,差异有统计学意义(P<0.05)。MDT协作护理干预前,两组焦虑自评量表(SAS)和抑郁自评量表(SDS)评分比较差异无统计学意义(P>0.05);干预后6个月,观察组SAS、SDS评分低于对照组,差异有统计学意义(P<0.05)。术后1个月,两组吞咽功能分级比较差异无统计学意义(P>0.05);术后6个月,观察组吞咽功能分级优于对照组,差异有统计学意义(P<0.05)。观察组护理满意程度高于照组,差异有统计学意义(P<0.05)。观察组不良事件发生率低于对照组,差异有统计学意义(P<0.05)。结论喉癌术后患者实施MDT协作护理可有效提高生活质量,改善心理状态、吞咽功能,减少不良事件,且患者满意程度较高。

Objective To explore the value of multidisciplinary team(MDT)collaborative nursing in postoperative patients with laryngeal cancer.Methods A total of 90 laryngeal cancer surgical patients admitted to Jiangxi Cancer Hospital from April 2020 to April 2021 were selected as the research subjects,according to the principle of comparability of basic characteristics between groups,laryngeal cancer surgical patients were divided into an observation group and a control group,with 45 patients in each group.The control group received routine care,while the observation group received MDT collaborative care on the basis of the control group to compare the quality of life,psychological status,incidence of adverse events,swallowing function,and nursing satisfaction between two groups of patients.Results Before MDT collaborative nursing intervention,there was no significant difference in the European Organization for Research and Treatment of cancer quality of life questionnaire(EORTCQLQ-C30)score between the two groups(P>0.05).Six months after the intervention,the each dimension scores of EORTCQLQ-C30 in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).Before MDT collaborative nursing intervention,there was no significant difference in the scores of self-rating anxiety scale(SAS)and self-rating depression scale(SDS)between the two groups(P>0.05).Six months after the intervention,the scores of SAS and SDS in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).One month after surgery,there was no statistically significant difference in swallowing function grading between the two groups(P>0.05).At 6 months after surgery,the swallowing function grading of the observation group was better than that of the control group,the difference was statistically significant(P<0.05).The nursing satisfaction of the observation group was higher than that of the control group,the difference was statistically significant(P<0.05).The incidence of adverse events of the observation group was lower than that of the control group,the difference was statistically significant(P<0.05).Conclusion Implementing MDT collaborative nursing for postoperative laryngeal cancer patients can effectively improve their quality of life,improve their psychological state,swallowing function,reduce adverse events,and have a high level of patient satisfaction.