基于多学科的照顾模式干预对脑胶质瘤手术患者自护能力、言语功能的影响  

Effect of multidisciplinary care model intervention on self-care ability and speech function of patients undergoing glioma surgery

作　　者：丁辉 周东阳[2] 张璞 DING Hui;ZHOU Dongyang;ZHANG Pu(Department of Neurosurgery,He’nan Province Hospital of Traditional Chinese Medicine(Second Affiliated Hospital of He’nan University of Traditional Chinese Medicine),Zhengzhou 450000,He’nan,China;Department of Neurosurgery,He’nan Provincial People’s Hospital,Zhengzhou 450000,He’nan,China)

机构地区：[1]河南省中医院(河南中医药大学第二附属医院)神经外科,郑州450000 [2]河南省人民医院神经外科,郑州450000

出　　处：《癌症进展》2023年第19期2144-2146,2185,共4页Oncology Progress

基　　金：河南省中医药科学研究专项课题(2022ZY2014)。

摘　　要：目的探讨基于多学科的照顾模式干预对脑胶质瘤手术患者自护能力、言语功能的影响。方法根据干预方法的不同将62例脑胶质瘤手术患者分为对照组和观察组,每组31例,对照组患者给予常规干预,观察组患者给予基于多学科的照顾模式干预。比较两组患者的自我护理能力[自我护理能力测定量表(ESCA)]、言语功能、健康知识知晓情况和术后并发症发生情况。结果干预后,两组患者ESCA量表各维度评分均高于本组干预前,观察组患者ESCA量表各维度评分均高于对照组,差异均有统计学意义(P﹤0.05)。干预后,两组患者的言语功能均较本组干预前改善,观察组患者的言语功能优于对照组,差异均有统计学意义(P﹤0.05)。干预后,观察组患者康复锻炼、饮食干预、心理调节知晓率均高于对照组,差异均有统计学意义(P﹤0.05)。观察组患者的并发症总发生率为6.46%,与对照组患者的12.90%比较,差异无统计学意义(P﹥0.05)。结论基于多学科的照顾模式干预有助于提高脑胶质瘤手术患者的自我护理能力,改善患者言语功能,提高健康知识知晓率,且不增加术后并发症发生率。Objective To explore the effect of multidisciplinary care model intervention on self-care ability and speech function of patients undergoing glioma surgery.Method A total of 62 patients undergoing glioma surgery were selected and divided into control group(n=31,received routine intervention)and observation group(n=31,received multidisciplinary care model intervention)according to different nursing methods.The self-care ability[exercise of self-care agency scale(ESCA)],speech function,health knowledge awareness and postoperative complications were compared between the two groups.Result After intervention,the scores of all dimensions of the ESCA scale in both groups were higher than those before the intervention,the scores of all dimensions of the ESCA scale in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).After intervention,the speech function in both groups were improved than those before the intervention,with better speech function in the observation group than that in the control group,the differences were statistically significant(P<0.05).After intervention,the awareness rate of rehabilitation exercise,dietary intervention and psychological adjustment in the observation group were higher than those of the control group,the differences were statistically significant(P<0.05).The total incidence of complications in the observation group was 6.46%,and there was no statistically significant difference compared to 12.90% in the control group(P>0.05).Conclusion Multidisciplinary care model intervention used in patients undergoing glioma surgery can improve the self-care ability,speech function and health knowledge awareness rate without increase of postoperative complications.

关 键 词：基于多学科的照顾模式干预 脑胶质瘤 言语功能 自我护理能力 术后并发症 

分 类 号：R739.41[医药卫生—肿瘤]