摘要
目的研究多学科全流程甲状腺肿瘤综合持续管控方法对肿瘤患者心理、社会应对、躯体康复的影响。方法选取2017年11月~2018年11月在甘肃省肿瘤医院进行治疗的分化型甲状腺癌住院患者120例,采用随机数字表法分为干预组(n=60)和对照组(n=60),干预组实施多学科全流程甲状腺癌综合持续管控,对照组仅实施常规护理,全部患者在入院时和出院后进行癌症患者生命质量测定量表、广泛性焦虑自评量表、9条目患者健康问卷、Constant-Murley肩颈功能量表综合评价其生命质量。结果两组患者GAD-7、PHQ-9评分入院时差异无统计学意义,出院后1个月干预组低于对照组;两组患者QLQ-C30入院时差异无统计学意义,出院后1个月干预组在角色功能、情绪功能、认知功能,社会功能以及总健康状况领域得分显著高于对照组,在疲倦、疼痛、失眠、食欲丧失等四个领域得分显著低于对照组;两组患者Constant-Murley肩颈功能量表评分入院时差异无统计学意义,出院后1个月复查时间干预组评分高于对照组(P<0.05)。结论多学科全流程甲状腺肿瘤综合持续管控方法在肿瘤患者住院期及出院后可以有效实施,经过管理的患者,其生命质量大大提高。
Objective To study the effect of comprehensive and continuous management and control of thyroid tumors in multidisciplinary and whole process on the psychological,social coping and physical rehabilitation of the patients with tumors.Methods 120 patients with differentiated thyroid cancer who were treated and hospitalized in Gansu Provincial Cancer Hospital from November 2017 to November 2018 were selected and divided into the intervention group(n=60)and the control group(n=60)through random number method.The intervention group received comprehensive and continuous management and control of thyroid cancer in multidisciplinary and whole process,while the control group only received conventional nursing.All the patients had their quality of life comprehensively assessed by the quality of life questionnaire(QLQ-C30)for the patients with cancer,self-assessment generalized anxiety disorder(GAD-7)scale,9-item patient health questionnaire(PHQ-9)and Constant-Murley shoulder and neck function score scale at admission and after discharge.Results There was no significant difference in GAD-7 and PHQ-9 scores between the two groups of patients at admission,and 1 month after discharge those of the intervention group were lower than those of the control group.There was no significant difference in QLQ-C30 scores between the two groups of patients at admission.1 month after discharge,the intervention group scored significantly higher than the control group in the fields of role function,emotional function,cognitive function,social function and total health status,and it scored significantly lower than the control group in the four fields of fatigue,pain,insomnia and loss of appetite.There was no significant difference between the two groups of patients in the Constant-Murley shoulder and neck function score scale at admission,and 1 month after discharge at the reexamination the scores of the intervention group were higher than those of the control group(P<0.05).Conclusion Comprehensive and continuous management and control of thyroid tumors in multidisciplinary and whole process can be effectively implemented during the hospitalization of the patients with tumors and after discharge.The quality of life of the patients who have received the management is greatly improved.
作者
王娟
迟婷
侯堆鹏
杨碎胜
王军
安花花
张凯
代红红
梁瑛
WANG Juan;CHI Ting;HOU Duipeng;YANG Suisheng;WANG Jun;AN Huahua;ZHANG Kai;DAI Honghong;LIANG Ying(DepartmentⅡof Head&Neck Surgery,Gansu Provincial Cancer Hospital,Gansu,Lanzhou 730050,China;Comprehensive Rehabilitation Center,Gansu Provincial Cancer Hospital,Gansu,Lanzhou 730050,China)
出处
《中国医药科学》
2020年第16期1-4,10,共5页
China Medicine And Pharmacy
基金
甘肃省科技厅技术创新引导计划项目(18CX1ZA008)
甘肃省卫生行业科研计划项目(GSWSKY2018-66)。
关键词
多学科
全流程
癌症持续管控
生命质量
Multidisciplinary
Whole process
Continuous management and control of cancers
Quality of life
作者简介
通讯作者:迟婷。
