基于思维导图的多学科团队管理模式对原发性肝癌患者术后状态的影响  

Effect of mind map-based multidisciplinary team management mode on postoperative status of Primary Hepatocellular Carcinoma

作　　者：高倩倩 翟景明[1] 丹冰洋 周俏俏 Gao Qian-qian;Zhai Jing-ming;Dan Bing-yang;Zhou Qiao-qiao(The First Affiliated Hospital of Henan University of Science and Technology,Luoyang 471000,Henan,China;Outpatient Service,The First Affiliated Hospital of Henan University of Science and Technology,Luoyang 471000,Henan,China;Department of Blood Purification,Luoyang 471000,Henan,China)

机构地区：[1]河南科技大学第一附属医院胃肠外科,河南洛阳471000 [2]河南科技大学第一附属医院门诊,河南洛阳471000 [3]河南科技大学第一附属医院血液净化科,河南洛阳471000

出　　处：《四川生理科学杂志》2023年第12期2252-2254,2269,共4页Sichuan Journal of Physiological Sciences

摘　　要：目的:探讨基于思维导图的多学科团队(MultidisciplinaryTeam,MDT)管理对原发性肝癌(Primary Hepatocellular Carcinoma,PHC)患者术后营养状态、衰弱程度及绝望水平的影响。方法:选取我科2021年2月至2022年7月期间92例PHC患者,随机分为常规组和管理组。常规组46例给予常规术后护理,管理组46例常规管理基础上联合基于思维导图的MDT管理。对比干预前和术后3 w采用埃德蒙衰弱量表评价两组患者衰弱程度,采用全自动生化分析仪测定血清白蛋白(Serum albumin,ALB)、前白蛋白(Prealbumin,PA)水平,采用简易营养风险筛查表(Mini-Nutritional Assessment,MNA)评价营养,采用贝克绝望量表评价绝望水平等。结果:干预前,两组患者埃德蒙衰弱量表各维度及总分比较差异无统计学意义(P>0.05),干预后,管理组埃德蒙衰弱量表各维度及总分均低于常规组(P<0.05);干预前,两组患者ALB、PA水平与MNA得分比较差异无统计学意义(P>0.05),干预后,管理组的血清ALB、PA水平与MNA得分均高于常规组(P<0.05);干预前,两组患者贝克绝望量表各维度及总分比较差异无统计学意义(P>0.05),干预后,管理组的贝克绝望量表各维度及总分低于常规组(P<0.05)。结论:在PHC术后中采用基于思维导图开展MDT管理模式能减轻患者的衰弱程度,降低绝望水平,还有助于改善患者的营养状态。Objective:To explore the effects of mind map-based multidisciplinary team management on postoperative nutritional status,frailty and despair level in patients with primary Hepatocellular Carcinoma.Methods:A total of 92 patients with primary Hepatocellular Carcinoma in our department from February 2021 to July 2022 were enrolled and randomly divided into routine group(46 cases)and management group(46 cases).The conventional group was given routine postoperative care,and the management group was combined with mind map-based multi-disciplinary team management on the basis of routine management.The Edmond frailness Scale was used to evaluate the frailness of the two groups before intervention and 3 weeks after operation.The serum albumin and prealbumin levels were measured by automatic biochemical analyzer,the nutrition risk screening table was used to evaluate nutrition,and the Baker Despair Scale was used to evaluate the level of despair.Results:Before intervention,there were no significant differences in the dimensions and total scores of the Edmond frailness scale between the two groups(P>0.05).After intervention,the dimensions and total scores of the Edmond frailness scale in the management group were lower than those in the conventional group(P<0.05).Before intervention,there was no significant difference in serum albumin,prealbumin levels and scores of nutritional risk screening table between 2 groups(P>0.05).After intervention,serum albumin,prealbumin levels and scores of nutritional risk screening table in management group were higher than those in conventional group(P<0.05).Before intervention,there was no significant difference in the Baker despair Scale dimensions and total scores between the two groups(P>0.05).After intervention,the Baker despair scale dimensions and total scores of the management group were lower than those of the conventional group(P<0.05).Conclusion:Using mind map-based multidisciplinary team management mode in primary Hepatocellular Carcinoma after operation can reduce the degree of

关 键 词：原发性肝癌 思维导图 多学科团队管理 衰弱程度 绝望水平 

分 类 号：R735.7[医药卫生—肿瘤]