基于多学科团队合作理念的多方位干预在肾癌手术患者中的应用  

Application of multi-directional intervention based on multi disciplinary team concept in patients with renal cancer undergoing surgery

作　　者：刘柯杉 王云[1] 吴凤梅[1] 徐慧杰 王宁宁[1] LIU Keshan;WANG Yun;WU Fengmei;XU Huijie;WANG Ningning(Department of Urology,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,He’nan,China)

机构地区：[1]郑州大学第一附属医院泌尿外科,郑州4500000

出　　处：《癌症进展》2025年第9期1105-1107,1115,共4页Oncology Progress

摘　　要：目的探讨基于多学科团队合作(MDT)理念的多方位干预在肾癌手术患者中的应用效果。方法将78例肾癌手术患者根据干预方式的不同分为对照组(38例)与观察组(40例),对照组采取常规干预,观察组在对照组的基础上采取基于MDT理念的多方位干预。比较两组患者术后恢复指标、心理状况[抑郁自评量表(SDS)、焦虑自评量表(SAS)]、并发症发生情况及护理满意度。结果观察组患者术后24 h时视觉模拟评分法(VAS)评分明显低于对照组,肛门排气时间、进食时间、下床活动时间、尿管留置时间、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评分均较干预前降低,且观察组患者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,满意度高于对照组,差异均有统计学意义(P﹤0.05)。结论基于MDT理念的多方位干预可减轻肾癌手术患者的术后疼痛,改善心理状况,减少并发症,促进术后恢复,并可提高护理满意度,具有临床应用价值。Objective To explore the application effect of multi-directional intervention based on multi disciplinary team(MDT)concept on patients with renal cancer(RC)undergoing surgery.Method A total of 78 patients with RC who underwent surgery were divided into control group(38 cases)and observation group(40 cases)according to different intervention methods.The control group was given routine intervention,and the observation group was given multi-directional intervention based on MDT concept on the basis of the control group.The postoperative recovery indicators,psychological status[self-rating depression scale(SDS),self-rating anxiety scale(SAS)],complications and nursing satisfaction were compared between the two groups.Result The visual analogue scale(VAS)score at 24 hours after operation of the observation group was significantly lower than that of the control group,and the anal exhaust time,eating time,ambulation time,indwelling time of urinary catheter and hospitalization time were significantly shorter than those of the control group,and the differences were statistically significant(P<0.01).After intervention,the SDS and SAS scores of the two groups were lower than those before intervention,and the SDS and SAS scores of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).The total incidence of complications in the observation group was lower than that in the control group,and the satisfaction was higher than that in the control group,and the differences were statistically significant(P<0.05).Conclusion Multi-directional intervention based on MDT concept can relieve postoperative pain,improve psychological status,reduce complications,promote postoperative recovery and improve nursing satisfaction in patients with RC undergoing surgery,which has clinical application value.

关 键 词：肾癌 多学科团队合作 并发症 护理满意度 

分 类 号：R737.11[医药卫生—肿瘤]