多学科协作护理对食管癌放化疗患者的影响

Effect of Multidisciplinary Collaborative Nursing on Esophageal Cancer Patients Undergoing Radiotherapy and Chemotherapy

目的:探讨多学科协作护理对食管癌放化疗患者的影响。方法:选取2022年1月1日~2023年3月31日收治的食管癌放化疗患者67例,采用随机数字表法分为对照组33例和观察组34例,对照组采用常规护理,观察组采用多学科协作护理,两组均干预1个月;比较两组干预前后心理状态[采用焦虑自评量表(SAS)、抑郁自评量表(SDS)]、应对方式[采用医学应对方式问卷(MCMQ)]、希望水平[采用Herth希望水平量表(HHI)]、自护能力[采用自我护理能力测定量表(ESCA)]、生命质量[采用癌症患者生命质量测定量表(EORTC QLQ-C30)]、护理满意度。结果:护理后,两组SAS、SDS评分及回避、屈服评分均低于干预前(P<0.05),且观察组低于对照组(P<0.01);护理后,两组面对评分、ESCA及HHI、EORTC QLQ-C30各项评分均高于护理前(P<0.05),且观察组均高于对照组(P<0.01);观察组护理满意度高于对照组(P<0.05)。结论:多学科协作护理可以改善食管癌放化疗患者的疾病应对方式,提高患者自护能力和希望水平,缓解不良情绪,提升生命质量,进而提高护理满意度。

Objective:To explore the effect of multidisciplinary collaborative nursing on esophageal cancer patients treated with radiotherapy and chemotherapy.Methods:A total of 67 patients with esophageal cancer receiving radiotherapy and chemotherapy from January 1,2022 to March 31,2023 were selected and randomly divided into control group(33 cases)and observation group(34 cases).The control group was given routine nursing care,and the observation group was provided multidisciplinary collaborative nursing.The intervention lasted one month in both groups.The psychological state(SAS,SDS),coping style(MCMQ),level of hope(HHI),self-care ability(ESCA),quality of life(EORTC QLQ-C30)and nursing satisfaction were compared between the two groups before and after intervention.Results:The SAS and SDS scores,avoidance and yield scores of the two groups were lower after intervention than those before intervention(P<0.05),and the scores in the observation group were lower than those in the control group(P<0.01).After nursing intervention,the scores of ESCA,HHI and EORTC QLQ-C30 in the two groups were higher than those before nursing intervention(P<0.05),and the scores in the observation group were higher than those in the control group(P<0.01).The nursing satisfaction of the observation group was higher than that in the control group(P<0.05).Conclusion:Multidisciplinary collaborative nursing can improve the coping style of esophageal cancer patients with radiotherapy and chemotherapy,improve their self-care ability and level of hope,relieve negative emotions and improve the quality of life and nursing satisfaction as well.