护理门诊医护一体化管理对头颈部肿瘤术后放疗患者的影响  

Effects of implementing integrated medical and nursing management in nursing clinics on postoperative radiotherapy patients with head and neck tumors

作　　者：金晓婷[1] 田梓蓉[2] 刘永玲[1] 肖倩[3] 任晓波[1] 李秀雅[1] 南方[1] 李莉[1] 梁晶[1] 宋彩霞[1] JIN Xiaoting;TIAN Zirong;LIU Yongling;XIAO Qian;REN Xiaobo;LI Xiuya;NAN Fang;LI Li;LIANG Jing;SONG Caixia(Head and Neck Cancer Rehabilitation Nursing Clinic,Beijing Tongren Hospital,Capital Medical University,Beijing,100730,Chin)

机构地区：[1]首都医科大学附属北京同仁医院头颈肿瘤康复护理门诊,北京市100730 [2]首都医科大学附属北京同仁医院护理部,北京市100730 [3]首都医科大学护理学院

出　　处：《中国护理管理》2023年第12期1784-1788,共5页Chinese Nursing Management

基　　金：北京市医院管理中心2021年度“培育计划”西医项目(PX2021009)。

摘　　要：目的:观察对头颈部肿瘤术后放疗患者开展护理门诊医护一体化管理的效果,为专科护士护理门诊工作提供依据。方法:于2022年3月至2023年3月选择北京市某三级甲等医院头颈部肿瘤手术后放疗患者92例为研究对象,随机分为实验组(n=47)和对照组(n=45)。实验组患者由主管医生和专科护士共同制定康复管理方案,对照组患者采用常规宣传手册及训练视频进行健康宣教并定期随访。分别于放疗前、放疗2周,放疗结束后1个月、3个月时,对两组患者的疾病知识水平、张口训练依从性、张口疼痛视觉模拟评分和张口受限评分进行比较。结果:干预后,两组患者的疾病知识水平、张口训练依从性、张口疼痛视觉模拟评分和张口受限发生率差异具有统计学意义(P<0.05)。结论:护理门诊开展医护一体化管理能够提高头颈部肿瘤术后放疗患者疾病知识水平和张口训练依从性,改善患者张口疼痛症状,降低张口受限的发生率。Objective:To evaluate the effects of integrated medical and nursing management for postoperative radiotherapy patients with head and neck tumors in the head and neck tumor rehabilitation nursing clinic.Methods:From March 2022 to March 2023,a total of 92 patients with head and neck tumors who underwent postoperative radiotherapy were selected at a tertiary grade A hospital in Beijing,and randomly divided into an experimental group(n=47)and a control group(n=45).The rehabilitation management plan for the experimental group patients were jointly developed by the supervising doctor and specialized nurses in the head and neck tumor care outpatient department.The control group patients received regular health education and follow-up through regular brochure and mouth opening training videos.The disease knowledge level,mouth opening training compliance,VAS mouth opening pain score,and mouth opening restriction score of the two groups were compared before radiotherapy,and 2 weeks,1 month,and 3 months after radiotherapy respectively.Results:After intervention,the disease knowledge level,compliance with mouth opening training,VAS mouth opening pain score,and incidence of mouth opening restriction between the two groups of patients showed statistically significant changes(P<0.05).Conclusion:Implementing integrated medical and nursing management based on nursing clinics can improve the disease knowledge level and compliance with mouth opening training for postoperative radiotherapy patients with head and neck tumors,so as to improve the symptoms of mouth opening pain,and reduce the incidence of mouth opening difficulties.

关 键 词：护理门诊 医护一体化 头颈部肿瘤 张口训练 护理质量 

分 类 号：R47[医药卫生—护理学] R197[医药卫生—临床医学]