摘要
目的分析以干预结果为导向的多学科延续模式在胆囊癌根治术患者中的应用效果。方法将105例行胆囊癌根治术的患者按干预方式的不同分为A组(常规干预模式)51例和B组(以干预结果为导向的多学科延续模式)54例。在干预前与干预后2个月对比两组患者营养指标[转铁蛋白(TRF)、血清白蛋白(ALB)、血清总蛋白(TSP)]水平、健康调查简表(SF-36)评分、汉密尔顿焦虑量表(HAMA)评分以及护理满意度。结果干预后,两组患者ALB、TSP、TRF水平均较干预前升高,且B组患者ALB、TSP、TRF水平均高于A组,差异均有统计学意义(P﹤0.05)。干预后,两组患者SF-36各维度评分均较干预前升高,且B组患者SF-36各维度评分均高于A组,差异均有统计学意义(P﹤0.05)。干预后,两组患者HAMA评分均较干预前明显降低,且B组患者HAMA评分明显低于A组,差异均有统计学意义(P﹤0.01)。B组患者满意度明显高于A组,差异有统计学意义(P﹤0.01)。结论以干预结果为导向的多学科延续模式在胆囊癌根治术患者中应用效果好,可促进患者恢复,提高其生活质量。
Objective To analyze the effect of the intervention result-oriented multidisciplinary continuation model in patients after radical cholecystectomy.Method A total of 105 patients who underwent the radical cholecystectomy were divided into group A(conventional intervention mode)with 51 cases and group B(intervention result-oriented multidisciplinary continuation mode)with 54 cases according to different intervention methods.The nutritional indicators[transferrin(TRF),serum albumin(ALB),total serum protein(TSP)]levels,the MOS 36-item short form health survey(SF-36)score,Hamilton anxiety scale(HAMA)scores,and nursing satisfaction were compared between the two groups before the intervention and 2 months after the intervention.Result After the intervention,the levels of ALB,TSP,and TRF in the two groups were higher than those before the intervention,and the levels of these indicators in group B were higher than those in group A,and the differences were statistically significant(P<0.05).After the intervention,the scores of SF-36 in the two groups increased compared with those in the same group before the intervention,and the scores of the SF-36 in group B were higher than those in group A,and the differences were statistically significant(P<0.05).After the intervention,the HAMA scores of the two groups were significantly lower than those before the intervention,and the scores of the patients in group B were significantly lower than those in group A,and the differences were statistically significant(P<0.01).The satisfaction of patients in group B was significantly higher than that in group A,and the difference was statistically significant(P<0.01).Conclusion The intervention result-oriented multidisciplinary continuation model has a satisfactory application effect in patients after radical operation of gallbladder cancer,which can promote their recovery and improve their quality of life.
作者
郑甜甜
李丽
ZHENG Tiantian;LI Li(First Ward,Department of Hepatobiliary Surgery,Cancer Hospital Affiliated to Zhengzhou University/He’nan Cancer Hospital,Zhengzhou 450000,He’nan,China)
出处
《癌症进展》
2022年第15期1555-1558,共4页
Oncology Progress
关键词
以干预结果为导向
多学科延续模式
胆囊癌
根治术
intervention result-oriented
multidisciplinary continuation model
gallbladder cancer
radical resection
作者简介
通信作者:郑甜甜,邮箱:16785644@qq.com。
