多学科协作干预在居家晚期肾癌靶向治疗患者中的应用研究  

Application of multidisciplinary teamwork continuity of care for advanced renal cell carcinoma communitydwelling patients treated with targeted drugs

作　　者：赵云[1] 羊波[1] 孟爱凤[2] 郑晓宇[2] 王叶苹[1] 伍静[1] ZHAO Yun;YANG Bo;MENG Aifeng;ZHENG Xiaoyu;WANG Yeping;WU Jing(Department of Urology, Jiangsu Cancer Hospital, Nanjing, 210009, China.)

机构地区：[1]江苏省肿瘤医院泌尿科,南京市210009 [2]江苏省肿瘤医院护理部,南京市210009

出　　处：《中华护理杂志》2018年第4期394-398,共5页Chinese Journal of Nursing

基　　金：江苏省卫生计生委科研资助项目(N201601)

摘　　要：目的探讨多学科协作干预对居家晚期肾癌靶向治疗患者的影响。方法采用便利抽样法,选取2014年2月—2017年2月我院收治的80例Ⅳ期肾癌患者为研究对象,按照随机数字表法分为实验组和对照组,每组40例,分别给予多学科协作干预和常规护理,比较两组护理效果。结果干预1个月后,实验组的服药依从性问卷得分优于对照组(P<0.05),干预3个月后,实验组的生存质量评分优于对照组(P<0.05),实验组的住院次数低于对照组(P<0.05)。实验组出现不良反应的例数及不良反应的程度均低于对照组,患者未出现停药及用药减量的现象。结论多学科协作干预能够改善居家患者的健康状况,提高患者的服药依从性和生活质量,降低患者再次住院的次数。Objective To explore the effects of multidiseiplinary teamwork continuity of care for community- dwelling patients with advanced renal cell carcinoma treated with targeted drugs. Methods A total of 80 patients with stage IV renal cell carcinoma treated in our hospital from February 2014 to February 2017 were enrolled using convenience sampling method,and were randomly divided into the experimental group and the control group using random number table,with 40 cases in each group. Both groups were given routine nursing care,and multidisci- plinary teamwork continuity of care was adopted in the experimental group additionally. Results One month after intervention,the patients＇ score of medication compliance questionnaire in the experimental group was significantly higher than that in the control group（P〈0.05）;three months after intervention,the quality of life（QLQ-C30） score of the experimental group was significantly improved than that of the control group（P〈0.05）, and the number of re- hospitalization was significantly less than that in the control group（P〈0.05）. The number and severity of adverse effects in the experimental group were lower than those in the control group,and no ease of stopping medication or decreas- ing doses occurred. Conclusion The multidisciplinary teamwork continuity of care model can enhance health status of community-dwelling patients ,improve medication compliance and quality of life ,and reduce readmission.

关 键 词：肾肿瘤 分子靶向治疗 多学科协作 护理 

分 类 号：R473.73[医药卫生—护理学]