多学科协作护理在早期结直肠癌手术患者中的应用效果  

Application effects of multidisciplinary collaborative nursing in patients with undergoing surgery early colorectal cancer

作　　者：方方 FANG Fang(Gastrointestinal Ward 1of Nanyang Central Hospital,Nanyang 473000 Henan,China)

机构地区：[1]南阳市中心医院胃肠一病区,河南南阳473000

出　　处：《中国民康医学》2025年第6期194-196,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:观察多学科协作护理在早期结直肠癌手术患者中的应用效果。方法:选取2020年6月至2023年2月该院收治的182例早期结直肠癌患者进行前瞻性研究,按照随机数字表法将其分为对照组和观察组各91例。对照组实施常规护理,观察组实施多学科协作护理。比较两组护理后营养指标[血红蛋白(Hb)、前白蛋白(PAB)、总蛋白(TP)、白蛋白(ALB)]水平,护理前后生命质量[欧洲癌症研究与治疗组织生活质量问卷(EORTC QLQ-C30)]评分、负性情绪[汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)]评分,以及并发症发生率。结果:护理后,观察组ALB、TP、PAB、Hb水平均高于对照组,差异有统计学意义(P<0.05);两组EORTC QLQ-C30评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);两组HAMA、HAMD评分均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05);观察组并发症发生率为3.30%(3/91),低于对照组的12.09%(11/91),差异有统计学意义(P<0.05)。结论:多学科协作护理应用于早期结直肠癌术后患者,可提高营养水平和生命质量,减轻负性情绪,降低并发症发生率,效果优于常规护理。Objective:To observe application effects of multidisciplinary collaborative nursing in patients with undergoing surgery early colorectal cancer.Methods:A prospective study was conducted on 182 patients with early colorectal cancer admitted to the hospital from June 2020 to February 2023.According to the random number table method,they were divided into control group and observation group,91 cases in each group.The control group received routine nursing,while the observation group received the multidisciplinary collaborative nursing.The levels of nutritional indexes[hemoglobin(Hb),prealbumin(PAB),total protein(TP),albumin(ALB)],the scores of quality of life[European Organization for Research and Treatment of Cancer quality of life questionnaire core 30(EORTC QLQ-C30)]and negative emotions[Hamilton anxiety scale(HAMA),Hamilton depression scale(HAMD)]before and after the nursing,and the incidence of complications were compared between the two groups.Results:After the nursing,the levels of ALB,TP,PAB and Hb in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).After the nursing,the EORTC QLQ-C30 scores of the two groups were higher than those before the nursing,that in the observation group was higher than that in the control group,and the differences were statistically significant(P<0.05).After the nursing,the HAMA and HAMD scores of the two groups were lower than those before the nursing,those in the observation group were lower than those in the control group,and the difference was statistically significant(P<0.05).Further,the incidence of complications in the observation group was 3.30%(3/91),which was lower than 12.09%(11/91)in the control group,and the differences were statistically significant(P<0.05).Conclusions:The multidisciplinary collaborative nursing in the patients with undergoing surgery early colorectal cancer can improve the nutritional levels and the quality of life,reduce the negative emotions,and reduce the incidence of comp

关 键 词：多学科协作护理 早期结直肠癌 并发症 负性情绪 生命质量 营养 

分 类 号：R473.5[医药卫生—护理学]