护理结局导向的多学科协作模式对近端胃癌患者术后恢复情况及心理状态的影响

Effects of nursing outcome-oriented multidisciplinary team model on recovery and psychological state of patients with proximal gastric cancer after operation

目的分析护理结局导向的多学科协作(MDT)模式在近端胃癌患者术后的应用效果。方法选取2019年3月至2022年5月我院收治的91例近端胃癌患者,依据建档时间不同将其分为对照组(45例)和研究组(46例)。对照组术后给予常规护理干预,研究组在对照组基础上给予护理结局导向的MDT模式干预。比较两组的干预效果。结果研究组的排气时间、进食时间、下床活动时间及术后住院时长短于对照组(P<0.05)。干预3、7 d后,研究组的视觉模拟评分法(VAS)评分低于对照组(P<0.05)。干预7 d后,研究组的简化的舒适状况量表(GCQ)评分高于对照组(P<0.05);干预后,研究组的24项汉密尔顿抑郁量表(HAMD-24)评分低于对照组(P<0.05)。干预后,研究组的Piper疲乏量表(PFS)评分低于对照组,欧洲癌症研究与治疗组织生命质量测定量表(EORTC QLQ-C30)评分高于对照组(P<0.05)。结论护理结局导向的MDT模式应用于近端胃癌患者术后护理中,可缓解术后疼痛,提高舒适度,减轻不良心理状态及癌因性疲乏,进而缩短恢复进程,改善生活质量。

Objective To analyze the application effect of nursing outcome-oriented multidisciplinary team(MDT)model in patients with proximal gastric cancer after operation.Methods A total of 91 patients with proximal gastric cancer admitted in our hospital from March 2019 to May 2022 were selected and divided into control group(45 cases)and study group(46 cases)according to different filing time.The control group was given routine nursing intervention after operation,and the study group was given nursing outcome-oriented MDT model intervention on the basis of the control group.The intervention effects of the two groups were compared.Results The exhaust time,eating time,ambulation time and postoperative hospitalization time of the study group were shorter than those of the control group(P<0.05).After 3 and 7 d of intervention,the Visual Analogue Scale(VAS)score of the study group was lower than that of the control group(P<0.05).After 7 d of intervention,the score of General Comfort Questionnaire(GCQ)in the study group was higher than that in the control group(P<0.05);after intervention,the score of 24-Item Hamilton Depression Scale(HAMD-24)in the study group was lower than that in the control group(P<0.05).After intervention,the Piper Fatigue Scale(PFS)score of the study group was lower than that of the control group,and the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire(EORTC QLQ-C30)score was higher than that of the control group(P<0.05).Conclusion The nursing outcome-oriented MDT mode applied in postoperative nursing of patients with proximal gastric cancer can relieve postoperative pain,improve comfort,reduce adverse psychological state and cancer-related fatigue,thus shortening the recovery process and improving the quality of life.