以护士为主导的多学科团队合作在胃肠道肿瘤患者延续护理中的应用  

Application of multidisciplinary cooperative team led by nurses in continuous nursing of gastrointestinal cancer patients

作　　者：江叶[1] 匡雪春[1] JIANG Ye;KUANG Xue-chun(Department of Geriatric Surgery,Xiangya Hospital of Central South University,Hu′nan Province,Changsha 410008,China)

机构地区：[1]中南大学湘雅医院老年医学外科,湖南长沙410008

出　　处：《中国当代医药》2020年第21期241-244,共4页China Modern Medicine

摘　　要：目的探讨以护士为主导的多学科团队合作(MDT)延续护理在胃肠道肿瘤患者中的应用效果。方法选取2018年1月~2019年7月在我院住院的120例胃肠道肿瘤患者为研究对象,应用随机数字表法将其分为干预组和对照组,每组各60例。两组入院后给予常规护理和出院指导。对照组实施常规随访。干预组实施MDT的延续护理。比较两组的自我护理能力;比较两组照顾者负担水平。结果入院时,两组的自我护理能力评分比较,差异无统计学意义(P>0.05);出院3个月时,两组自我护理能力评分高于入院时,差异有统计学意义(P<0.05)。出院3个月时,干预组自我护理能力评分高于对照组,差异有统计学意义(P<0.05)。入院时,两组照顾者负担水平评分比较,差异无统计学意义(P>0.05);出院3个月时,两组照顾者负担水平评分低于入院时,差异有统计学意义(P<0.05)。出院3个月时,干预组照顾者负担水平评分低于对照组,差异有统计学意义(P<0.05)。结论以MDT延续护理能提高胃肠道肿瘤患者自我护理能力,降低照顾者的照顾负担。Objective To explore the application effect of multi-disciplinary team(MDT)cooperation led by nurses in continuous nursing of gastrointestinal cancer patients.Methods From January 2018 to July 2019,120 patients with gastrointestinal cancer in our hospital were selected as the study objects.The patients were divided into intervention group(n=60)and control group(n=60)by random number table method.The patients in the two groups were given routine nursing and discharge guidance.Routine follow-up was performed in the control group.The continuous nursing with MDT cooperation led by nurses was carried out in the intervention group.The self-care ability and the burden level were compared between the two groups.Results At admission,there was no significant difference in self-care ability between the two groups(P>0.05).Three months after discharge,the self-care ability scores of the two groups were higher than those at admission(P<0.05).Three months after discharge,the self-care ability score of the intervention group was higher than that of the control group(P<0.05).At admission,there was no significant difference in burden score between the two groups(P>0.05).Three months after discharge,the burden of caregivers scores in the two groups were lower than those at admission(P<0.05).Three months after discharge,the burden of caregivers score in the intervention group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion The continuous nursing of MDT cooperation led by nurses can improve the self-care ability of gastrointestinal cancer patients and reduce the care burden of caregivers.

关 键 词：胃肠道肿瘤 延续护理 多学科合作 自我护理能力 照顾负担 

分 类 号：R473.73[医药卫生—护理学]