多学科照顾模式联合时效性激励在恶性脑胶质瘤患者术后康复中的应用
Application of multidisciplinary care model combined with timeliness incentive in postoperative rehabilitation of malignant brain glioma patients
张林聪 1魏建伟 1杨凤东 1翟一轩 1白冰1
作者信息
- 1. 郑州大学第一附属医院神经外科一病区,郑州 4500000
- 折叠
摘要
目的 探讨多学科照顾模式联合时效性激励在恶性脑胶质瘤患者术后康复中的应用效果.方法 将80例恶性脑胶质瘤患者根据干预方式的不同分为常规组(n=38)和多学科干预组(n=42).常规组患者采取常规干预,多学科干预组患者在常规组的基础上采取多学科照顾模式联合时效性激励.比较两组患者的心理状态[抑郁自评量表(SDS)、焦虑自评量表(SAS)]、自我效能感[中文版癌症自我管理效能感量表(C-SUPPH)]、生活质量[欧洲癌症研究与治疗组织生命质量测定量表(EORTC QLQ-C30)]及并发症发生情况.结果 干预后,两组患者SAS、SDS评分均较干预前降低,且多学科干预组患者SAS、SDS评分均低于常规组,差异均有统计学意义(P﹤0.05).干预后,两组患者正性态度、自我决策、自我减压评分均较干预前升高,且多学科干预组患者正性态度、自我决策、自我减压评分均高于常规组,差异均有统计学意义(P﹤0.05).干预后,两组患者躯体功能、社会功能、情绪功能、认知功能、角色功能评分均较干预前升高,且多学科干预组患者躯体功能、社会功能、情绪功能、认知功能、角色功能评分均高于常规组,差异均有统计学意义(P﹤0.05).两组患者并发症总发生率比较,差异无统计学意义(P﹥0.05).结论 多学科照顾模式联合时效性激励可改善恶性脑胶质瘤患者术后心理状态,提高患者自我效能感及生活质量.
Abstract
Objective To explore the application effect of multidisciplinary care model combined with timeliness in-centive in postoperative rehabilitation of malignant brain glioma patients.Method A total of 80 patients with malignant brain glioma were divided into conventional group(n=38)and multidisciplinary intervention group(n=42)according to different intervention methods.Patients in the conventional group were treated with routine intervention,and patients in the multidisciplinary intervention group were treated with multidisciplinary care model combined with timeliness incen-tive intervention on the basis of the conventional group.The psychological status[self-rating depression scale(SDS),self-rating anxiety scale(SAS)],self-efficacy[Chinese-strategies used by people to promote health(C-SUPPH)],quality of life[European Organization for Research and Treatment of Cancer quality of life questionnaire core 30(EORTC QLQ-C30)]and the incidence of complications were compared between the two groups.Result After intervention,the scores of SAS and SDS in two groups were lower than those before intervention,and the scores of SAS and SDS in multidisci-plinary intervention group were lower than those in conventional group,the differences were statistically significant(P<0.05).After intervention,the positive attitude,self-decision making and self-stress reduction scores of both groups were higher than those before intervention,and the positive attitude,self-decision making and self-stress reduction scores in multidisciplinary intervention group were higher than those in conventional group,the differences were statistically signif-icant(P<0.05).After intervention,the scores of physical function,social function,emotional function,cognitive function and role function in two groups were higher than those before intervention,and the scores of physical function,social function,emotional function,cognitive function and role function in the multidisciplinary intervention group were higher than those in the conventional group,the differences were statistically significant(P<0.05).There was no significant dif-ference in the total incidence of complications between the two groups(P>0.05).Conclusion Multidisciplinary care model combined with timeliness incentive can improve the psychological state,self-efficacy and quality of life of patients with malignant brain glioma after surgery.
关键词
恶性脑胶质瘤/多学科照顾模式/时效性激励/生活质量Key words
malignant brain glioma/multidisciplinary care model/timeliness incentive/quality of life引用本文复制引用
出版年
2024
NETL
NSTL
万方数据