多学科协作模式的延续性管理对乳腺癌患者术后恢复及不良情绪的影响

目的探讨多学科协作模式的延续性管理对乳腺癌患者术后恢复及不良情绪的影响。方法依据术后干预方式的不同将80例乳腺癌根治术后患者分为常规组(n=35)和多学科协作管理组(n=45),常规组实施常规术后干预,多学科协作管理组在此基础上实施多学科协作模式的延续性管理。比较两组患者的疼痛程度、不良情绪、营养指标、肢体功能恢复情况及自护能力。结果干预后,多学科协作管理组患者的视觉模拟评分量表(VAS)、焦虑自评量表(SAS)和抑郁自评量表(SDS)评分均明显低于常规组,血清白蛋白(ALB)、血清前白蛋白(PAB)水平均明显高于常规组(P﹤0.01)。干预后,多学科协作管理组患者肩关节内收、肩关节外展、肩关节伸屈和肩关节后伸的活动度均明显大于常规组(P﹤0.01)。干预后,多学科协作管理组患者的自护技能、自护责任感、自我概念和健康知识水平评分均明显高于常规组(P﹤0.01)。结论多学科协作模式的延续管理能够缓解乳腺癌术后患者的疼痛及焦虑、抑郁情绪,改善营养状态,促进肢体功能恢复,提高其自护能力。

Effect of continuing management of multidisciplinary care on postoperative recovery and negative emotions in patients with breast cancer

Objective To explore the effect of continuing management of multidisciplinary care on postoperative recovery and negative emotions in patients with breast cancer.Method A total of 80 patients with breast cancer were analyzed retrospectively.According to the different approaches of postoperative intervention,the patients were divided into two groups as routine care group(n=35)and multidisciplinary care management group(n=45),the routine care group received routine postoperative interventions,and the multidisciplinary care management group was administered with continning management based on multidisciplinary care model in addition to routine care.The degree of pain,negative emotions,nutritional status,recovery of limb function and self-care ability were assessed and compared between the two groups.Result After intervention,the scores of visual analogue scale(VAS),self-rating anxiety scale(SAS)and self-rating depression scale(SDS)in multidisciplinary care group were significantly lower than those in the routine care group,and levels of albumin(ALB)and prealbumin(PAB)were markedly higher than those in the routine care group(P<0.01).The shoulder range of motion,including shoulder adduction,abduction,flexion and extension,were significantly larger in multidisciplinary care group than in routine care group(P<0.01).Improvement scores of self-care skills,sense of selfcare responsibility,self-concept and health knowledge were evident in multidisciplinary care management group versus routine care group(P<0.01).Conclusion The continuing management of multidisciplinary care relieves pain,anxiety and depression for breast cancer patients after surgery,with improved nutritional status,accelerated recovery of limb function,as well as increased self-care abilities.