分析多学科联合协作在肝癌手术患者延续性护理中的应用

Analyze the Application of Multidisciplinary Cooperation in the Continuous Nursing of Patients Undergoing Liver Cancer Surgery

目的 探讨多学科联合协作在肝癌手术患者延续性护理中的应用。方法 选取我院在2018年5月至2020年5月期间收治的82例肝癌手术患者,应用双色球随机分组法分为两组。对照组41例开展常规出院干预联合延续性护理,观察组41例开展多学科联合协作延续性护理,对比分析两组的护理效果。结果 观察组护理后患者SAS评分为(32.35±4.48)分、SDS评分为(35.54±5.57)分,均低于对照组患者,数据差异有统计学意义(P<0.05)。观察组护理后患者自护能力评分为(144.15±4.95)分,躯体功能评分为(60.57±4.14)分,认知功能评分为(62.26±4.62)分,情绪功能评分为(57.44±3.35)分,角色功能评分为(61.37±5.26)分,社会功能评分为(55.54±3.76)分,均高于对照组,数据差异有统计学意义(P<0.05)。观察组患者护理干预后疼痛评分为(29.24±4.67)分,疲劳评分为(41.25±5.36)分,恶心呕吐评分为(36.18±3.45)分,均低于对照组,数据差异有统计学意义(P<0.05)。结论 对肝癌手术患者应用多学科联合协作延续性护理有利于减轻患者的负性情绪,提升自护能力和生活质量。

Objective To explore the application of multidisciplinary cooperation in continuous care of patients undergoing liver cancer surgery.Methods A total of 82 patients undergoing surgery for liver cancer in our hospital from May 2018 to May 2020 were selected as the research objects,and they were randomly divided into an observation group and a control group,with 41 cases in each group.Patients in the control group were given routine discharge intervention and continuous nursing,and the patients in the observation group were treated with multidisciplinary joint collaborative continuous nursing.The two groups of patients were compared and analyzed before and after nursing,anxiety,depression,negative emotion,cancer-related fatigue,self-care ability,and quality of life.Results The SAS score of the observation group was(32.35±4.48)and SDS score was(35.54±5.57),which were lower than those in the control group(P<0.05).The self-care ability score of the observation group after nursing was(144.15±4.95),and the physical function score was(60.57±4.14)and cognitive function score was(62.26±4.62),and the score of emotional function was(57.44±3.35),and the role function score was(61.37±5.26),social function score was(55.54±3.76),which were higher than those in the control group(P<0.05).The pain score of the observation group after nursing intervention was(29.24±4.67),fatigue score was(41.25±5.36),nausea and vomiting score was(36.18±3.45),which were lower than those in the control group(P<0.05).Conclusion The application of multidisciplinary collaborative continuing care for patients with liver cancer surgery is conducive to reducing the negative emotions of patients,improving self-care ability and quality of life.