多学科团队协作护理对鼻咽癌放疗病人自护能力及生存质量的影响

目的]探讨围术期实施多学科团队协作护理对鼻咽癌放疗病人自我护理能力及生存质量的影响。方法]将118例接受放疗的鼻咽癌病人采用随机数字表法分为观察组和对照组,每组59例,对照组实施常规护理,观察组在常规护理的基础上实施多学科团队协作护理,于实施护理干预前和护理干预6个月后采用自我护理能力测定量表(ESCA)和世界卫生组织生存质量测定量表简表(WHOQOL-BREF)评价比较两组病人自我护理能力及生存质量,并调查病人对护理的满意度。结果]出院6个月后观察组病人自我护理能力ESCA评分总分为146.62分±8.73分,明显高于对照组的114.56分±8.29分(P0.01);观察组病人生存质量WHOQOL-BREF评分总分为68.56分±3.79分,明显高于对照组的54.49分±4.77分(P0.01);末次随访时,观察组病人对护理的满意度为98.31%,明显高于对照组的81.36%(P0.05)。结论]对鼻咽癌放疗病人围术期实施多学科团队协作护理能进一步提高病人的自我护理能力和生存质量,获得更理想的护理满意度。

Influence of multidisciplinary team collaboration care on self care ability and quality of life of patients with naso-pharyngeal carcinoma undergoing radiotherapy

Objective:To probe into the influence of the multidisciplinary team collaboration care on self care a-bility and quality of life of patients with nasopharyngeal carcinoma.Methods:A total of 1 1 8 hospitalized patients with nasopharyngeal carcinoma undergoing radiotherapy were divided into observation group and control group by random Numbers table,5 9 cases in each.The patients in control group received routine nursing,and the pa-tients in observation group received the conventional nursing and the multidisciplinary team collaboration care. Before and after nursing intervention 6 months,compared two groups of patients with self care ability and quality of life by used the self care ability measurement scale(ESCA)and WHO quality of life measurement table (WHOQOL BREF),then to investigate the nursing satisfaction.Results:After 6 months discharged from hospital,the self care ability ESCA rating scores of the patients in observation group was(146.62±8.73),sig-nificantly higher than that in control group(114.56±8.29)(P<0.01);survival quality WHOQOL BREF rat-ing score of patients in observation group was(68.56±3.79),significantly higher than that in control group(54.49± 4.77)(P<0.01).The last follow up,the nursing satisfaction in observation group was 98.31%,significantly higher than that in control group 81.36% (P<0.05).Conclusion:During the perioperative period of patients with nasopharyngeal carcinoma undergoing radiotherapy,multidisciplinary team collaboration care could improve pa-tients'self care ability and quality of life,and obtain more ideal nursing satisfaction.