多学科协作安宁疗护照护模式在综合性医院晚期恶性肿瘤患者中的应用  

Application of multidisciplinary collaborative hospice passport care model in patients with advanced malignant tumours in general hospital

作　　者：陈玥 黄滢洁 卞学梅 Chen Yue;Huang Yingjie;Bian Xuemei(Oncology Department,Jiangjin Central Hospital of Chongqing,Chongqing 402260,China)

机构地区：[1]重庆江津区中心医院,重庆402260

出　　处：《国际护理学杂志》2025年第7期1153-1158,共6页international journal of nursing

基　　金：重庆市卫生健康委医学科研项目(项目编号:2023yjky018)。

摘　　要：目的:探讨多学科协作安宁疗护照顾模式在综合性医院晚期恶性肿瘤患者中的应用价值。方法:采用便利抽样法选择2021年1月至2024年1月重庆市江津区中心医院收治76例晚期恶性肿瘤患者作为研究对象,根据入院时间分为两组,2021年1月至2022年6月入院患者纳入对照组,2022年7月至2024年1月入院患者纳入观察组,各38例。对照组予以传统安宁疗护照护模式,观察组予以多学科协作安宁疗护照护模式,观察比较两组患者干预前后癌症相关症状严重程度、静息和活动状态下疼痛程度及生活质量。结果:本研究纳入76例患者中,对照组中2例患者未能完成研究;观察组中1例患者研究过程中离世,1例因私人原因退出研究,均予以剔除,问卷回收有效率为94.74%。干预后,对照组患者埃德蒙顿症状评估量表(ESAS)评分较干预前明显提高(P<0.05),观察组患者ESAS评分差异无统计学意义(P>0.05),且观察组患者ESAS评分显著低于对照组(P<0.05)。干预后,两组患者静息痛和活动痛数字评分法(NRS)评分较干预前均有降低(均P<0.05),且观察组患者静息痛和活动痛NRS评分均显著低于对照组(均P<0.05)。干预后,对照组患者心理、生理维度评分、整体生活质量评分及McGill生活质量量表(MQOL)总分均较干预前显著降低(P<0.05),观察组患者个人存在、社会支持维度评分及MQOL总分均较干预前显著升高(均P<0.05),且观察组患者MQOL各维度评分及总分均显著高于对照组(均P<0.05)。结论:针对综合性医院收治的晚期恶性肿瘤患者实施多学科协作安宁疗护照护模式,有助于延缓其癌症相关症状加重,减轻癌痛,对维持其生活质量有重要意义。Objective:To explore the application value of multidisciplinary collaborative hospice care model in patients with advanced malignant tumours in general hospital.Methods:A total of 76 patients with advanced malignant tumors admitted to Jiangjin Central Hospital of Chongqing from January 2021 to January 2024 were selected by convenience sampling method.They were divided into the control group and the observation group by random number table method,with 38 cases in each group.The control group was given the traditional hospice passport care model,while the observation group was given the multidisciplinary collaborative hospice passport care model.The severity of cancer-related symptoms,resting and active pain and quality of life of the two groups were observed and compared before and after intervention.Results:Among 76 patients included in this study,2 patients in the control group failed to complete the study,1 patient in the observation group died during the study,and 1 patient withdrew from the study for private reasons,all of which were excluded.The effective rate of questionnaire recovery was 94.74%.After intervention,the Edmonton Symptom Assessment Scale(ESAS)score of the control group was significantly higher than that before intervention(P<0.05),while there was no significant difference in the ESAS scores of the patients in the observation group(P>0.05),and the ESAS score of the observation group was significantly lower than that of the control group(P<0.05).After intervention,the resting pain and activity pain Numerical Rating Scale(NRS)scores of the patients in both groups were lower than those before intervention(P<0.05),and the NRS scores of resting pain and activity pain in the observation group were significantly lower than those in the control group(P<0.05).After intervention,the psychological and physiological scores,overall quality of life scores and McGill Quality of Life Scale(MQOL)total scores of the control group were significantly decreased compared with before intervention(P<0.05),while the pe

关 键 词：晚期恶性肿瘤 多学科协作 安宁疗护 综合性医院 

分 类 号：R473.73[医药卫生—护理学]