多学科团队协作健康管理在食管癌根治术患者围手术期中的应用效果  

Application effect of multi-disciplinary team health management in perioperative period of patients with radical resection of esophageal cancer

作　　者：张娟[1] 张会民[1] 周晓蕾[1] 兰云霞[1] 丁密[1] 李娜 ZHANG Juan;ZHANG Huimin;ZHOU Xiaolei;LAN Yunxia;DING Mi;LI Na(Department of Respiratory Medicine,He’nan Provincial Chest Hospital,Zhengzhou 450008,He’nan,China)

机构地区：[1]河南省胸科医院呼吸内科,郑州4500080

出　　处：《癌症进展》2024年第22期2509-2512,共4页Oncology Progress

基　　金：河南省医学科技攻关计划联合共建项目(LHGJ20220239、LHGJ20230122)。

摘　　要：目的 探讨多学科团队协作(MDT)健康管理在食管癌根治术患者围手术期中的应用效果。方法根据干预方式的不同将80例食管癌根治术患者分为观察组(n=41)和对照组(n=39),对照组患者采取常规干预,观察组患者在对照组的基础上采取MDT健康管理。比较两组患者的手术相关指标、心理状态[抑郁自评量表(SDS)、焦虑自评量表(SAS)]、并发症发生情况及满意度。结果 观察组患者肠鸣音消失时间、首次排气时间、首次排便时间及住院时间均明显短于对照组,差异均有统计学意义(P﹤0.01)。干预后,两组患者SDS、SAS评分均低于本组干预前,观察组患者SDS、SAS评分均低于对照组,差异均有统计学意义(P﹤0.05)。观察组患者并发症总发生率低于对照组,总满意度高于对照组,差异均有统计学意义(P﹤0.05)。结论 MDT健康管理可改善食管癌根治术患者的心理状态,减少并发症,促进患者术后恢复,提高患者满意度。Objective To explore the application effect of multi-disciplinary team(MDT)health management in peri-operative period of patients with radical resection of esophageal cancer.Method According to different intervention methods,80 patients with radical resection of esophageal cancer were divided into observation group(n=41)and control group(n=39).Patients in the control group received conventional intervention,and patients in the observation group re-ceived MDT health management on the basis of the control group.The surgery-related indicators,psychological state[self-rating depression scale(SDS),self-rating anxiety scale(SAS)],complications and satisfaction were compared be-tween the two groups.Result The disappearance time of bowel sound,first exhaust time,first defecation time and hospi-talization time in observation group were significantly shorter than those in control group,and the differences were statis-tically significant(P<0.01).After intervention,the SDS and SAS scores in both groups were lower than those before inter-vention,and the SDS and SAS scores in observation group were lower than those in control group,and the differences were statistically significant(P<0.05).The total incidence of complications in observation group was lower than that in control group,and the total satisfaction rate was higher than that in control group,and the differences were statistically significant(P<0.05).Conclusion MDT health management can improve the psychological state of patients with radical resection of esophageal cancer,reduce complications,promote postoperative recovery and improve patients’satisfaction.

关 键 词：食管癌根治术 多学科团队协作 健康管理 心理状态 并发症 满意度 

分 类 号：R735.1[医药卫生—肿瘤]