Effects of multidisciplinary team continuous intervention on postoperative complication and quality of life in elderly patients with glioma
Objective To investigate the effects of multidisciplinary team(MDT)continuous intervention on postop-erative complications and quality of life in elderly patients with glioma.Method A total of 106 elderly patients with glio-ma were divided into intervention group(56 cases)and control group(50 cases)according to different intervention meth-ods.The control group received routine postoperative intervention,and the intervention group received MDT continuous intervention.The quality of life[activities of daily living(ADL)],neurological function[National Institutes of Health stroke scale(NIHSS)and mini-mental state examination(MMSE)],neuropeptide[β-endorphin(β-EP),neurotensin(NT)and arginine vasopressin(AVP)]levels and postoperative complications were compared between the two groups.Result One month after intervention,the scores of physical function,psychological status,social ability and overall quality of life in two groups were higher than those before intervention,and the scores of physical function,psychological status,so-cial ability and overall quality of life in intervention group were higher than those in control group,the differences were statistically significant(P＜0.05).One month after intervention,the NIHSS scores of both groups were lower than those before intervention,the MMSE scores were higher than those before intervention,and the NIHSS score of the interven-tion group was lower than that of the control group,and the MMSE score was higher than that of the control group,the differences were statistically significant(P＜0.05).After intervention,the levels of β-EP,NT and AVP in two groups were higher than those before intervention,and the levels of β-EP,NT and AVP in intervention group were higher than those in control group,the differences were statistically significant(P＜0.05).The total incidence of postoperative complications in intervention group was lower than that in control group,and the difference was statistically significant(P＜0.05).Conclu-sion MDT continuous intervention can significantly reduce postoperative complications in elderly patients with glioma,improve quality of life,reduce inflammation and promote the recovery of nerve function.
gliomamultidisciplinary teamcontinuous interventionpostoperative complicationquality of life
万方数据
维普
