多学科协作模式的护理干预策略对胃癌术后化疗患者自我护理能力及并发症发生率的影响

Effect of Nursing Intervention Strategies Base on Multi-Disciplinary Team Model on Self-Care Ability and Incidence of Complication of Patients with Gastric Cancer Undergoing Postoperative Chemotherapy

目的:探讨多学科协作(MDT)模式干预策略对胃癌术后化疗患者自我护理能力及并发症发生率的影响.方法:选取2021年10月至2022年10月本院收治的91例胃癌术后化疗患者作为研究对象.采用随机抽签法将其分为MDT组(n=46,予以MDT模式的护理干预策略)和常规组(n=45,予以常规护理干预),干预时间均为6个月.比较2组患者并发症发生率及干预前、后自我护理能力评分[自我护理能力测定量表(ESCA)评分],心理状况评分[汉密尔顿焦虑量表(HAMA)评分、抑郁量表(HAMD)评分]和生活质量评分[胃癌患者生活质量问卷(QLQ-STO22)评分].结果:MDT组患者并发症发生率43.48%(20/46)低于常规组的64.44%(29/45),差异有统计学意义(P<0.05);干预后,MDT组患者HAMA、HAMD评分均低于常规组,MDT组ESCA、QLQ-STO22评分均高于常规组,差异均有统计学意义(P<0.05).结论:MDT模式干预策略能提高胃癌术后化疗患者自我护理能力,改善心理状况,减少并发症发生,提高生活质量.

Objective:To explore the effects of nursing intervention strategies base on multi-disciplinary team(MDT)model on self-care ability and incidence of complication of patients with gastric cancer undergoing postoperative chemotherapy.Methods:A total of 91 patients with gastric cancer undergoing postoperative chemotherapy admitted to our hospital from October 2021 to October 2022 were selected as the study objects.They were divided into MDT group(n=46)and conventional group(n=45)according to random drawing method.The MDT group received nursing intervention strategies based on the MDT model,while the conventional group received routine nursing intervention,both groups received continuous intervention for 6 months.The incidence of complications,as well as the self-care ability scores[exercise of self-care agency scale(ESCA)],psychological status[Hamilton anxiety scale(HAMA),Hamilton depression scale(HAMD)],and quality of life[quality of life questionnaire-stomach cancer-specific module(QLQ-STO22)] before and after intervention were compared between the two groups.Results:The incidence of complications in the MDT group was 43.48%(20/46),which was lower than 64.44%(29/45)in the conventional group,and the difference was statistically significant(P<0.05).After intervention,the HAMA and HAMD scores in the MDT group were lower than those in the conventional group,the ESCA and QLQ-STO22 scores in the MDT group were higher than those in the conventional group,and the differences were statistically significant(P<O.05).Conclusions:MDT intervention strategy can improve the self-care ability of postoperative chemotherapy patients with gastric cancer,improve their psychological status,and reduce the incidence of complications.