多学科协作联合延续干预在鼻咽癌手术患者中的应用效果

Application effect of multidisciplinary collaborative combined continuous intervention in patients with nasopharyngeal carcinoma undergoing surgery

目的探讨多学科协作联合延续干预在鼻咽癌手术患者中的应用效果。方法将106例鼻咽癌患者按干预方法的不同分为常规干预组与多学科联合组,每组53例。常规干预组给予常规干预,多学科联合组在常规干预组的基础上给予多学科协作联合延续干预。比较两组患者的住院时间、负性情绪、营养状况、自我效能、满意度。结果多学科联合组患者住院时间明显短于常规干预组,差异有统计学意义(P﹤0.01)。干预后,两组患者焦虑自评量表(SAS)、抑郁自评量表(SDS)评分均较干预前降低,且多学科联合组患者SAS、SDS评分均低于常规干预组,差异均有统计学意义(P﹤0.05)。干预后,两组患者的患者主观整体评估量表(PG-SGA)评分均较干预前降低,一般自我效能感量表(GSES)评分均较干预前升高,且多学科联合组患者PG-SGA评分低于常规干预组,GSES评分高于常规干预组,差异均有统计学意义(P﹤0.05)。干预后,两组患者情感、行为严重程度、感知、认知评分均较干预前降低,且多学科联合组患者情感、行为严重程度、感知、认知评分均低于常规干预组,差异均有统计学意义(P﹤0.05)。多学科联合组患者满意度明显高于常规干预组,差异有统计学意义(P﹤0.01)。结论给予鼻咽癌手术患者多学科协作联合延续干预,能够改善患者负性情绪,提升营养状况和自我效能,改善癌因性疲乏,具有较好的临床干预效果。

Objective To analyze the application effect of multidisciplinary collaborative combined continuous inter-vention in patients with nasopharyngeal carcinoma(NPC)undergoing surgery.Method A total of 106 NPC patients were divided into the conventional intervention group(n=53,received conventional intervention)and multidisciplinary collaboration group(n=53,received multidisciplinary collaborative combined continuous intervention on the basis of con-ventional intervention)according to different intervention methods.The hospitalization time,negative emotions,nutrition-al condition,self-efficacy and satisfaction were compared between the two groups.Result The hospitalization time of patients in the multidisciplinary collaboration group was significantly shorter than that in the conventional intervention group(P<0.01).After intervention,the scores of the self-rating anxiety scale(SAS)and self-rating depression scale(SDS)in both groups decreased than those before intervention,with lower scores in the multidisciplinary collaboration group than those in the conventional intervention group(P<0.05);the scores of patient-generated subjective global assess-ment(PG-SGA)were lower and scores of general self-efficacy scale(GESE)were higher than those before intervention in both groups,with lower PG-SGA score and higher GESE score in the multidisciplinary collaboration group than those in the conventional intervention group(P<0.05);the emotional,behavioral severity,perception,and cognitive scores of the two groups decreased than those before the intervention,with lower scores in the multidisciplinary collaboration group than those in the conventional intervention group(P<0.05).The satisfaction in the multidisciplinary collaboration group was significantly higher than that in the conventional intervention group(P<0.01).Conclusion The multidisci-plinary collaborative combined continuous intervention in surgically treated NPC patients can improve the negative emo-tions,nutritional condition,self-efficacy and cancerous fatigue of patients,with better clinical intervention outcomes.