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基于多学科团队合作的延续性干预对脊髓肿瘤术后患者功能康复与生活质量的影响

Effect of continuous interventions based on a multidisciplinary teamwork on functional rehabilitation and quality of life in postoperative patients with spinal tumors

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目的 分析基于多学科团队合作的延续性干预对脊髓肿瘤术后患者功能康复与生活质量的影响.方法 采取便利抽样的方法选取 2021 年 1 月至 2023 年 1 月北京天坛医院收取的 92 例脊髓肿瘤术后患者,根据数字随机表法分作 2 组,每组 46 例.对照组予以常规延续护理,观察组予以基于多学科团队合作的延续性干预,3 个月后比较 2 组患者功能康复效果、机体康复水平、病耻感及生活质量.结果 护理后,观察组患者功能康复优良率65.22%,高于对照组的 43.48%(P<0.05);观察组患者体能量表(ECOG)评分(1.41±0.13)分,长海痛尺评分(3.38±1.19)分,低于对照组的(1.71±0.15)分与(4.01±1.27)分(P<0.05);观察组患者慢性疾病病耻感量表(SSCI)评分(84.20±7.45)分,低于对照组的(91.48±7.91)分(P<0.05);观察组健康生活量表简表(SF-36)分数显著高于对照组(P<0.05).结论 基于多学科团队合作的延续性干预在脊髓肿瘤术后患者中的应用可取得显著效果,不仅能提高其功能康复效果及机体康复水平,而且还可降低患者的病耻感,促进其生活质量进一步提高.
Objective To analyze the effect of continuous interventions based on a multidisciplinary teamwork on functional rehabilitation and quality of life of postoperative patients with spinal tumors.Methods A total of 92 postoperative patients with spinal tumors treated in Beijing Tiantan Hospital from January 2021 to January 2023 were selected by convenient sampling method.They were randomly assigned into the control group and observation group,with 46 cases per group.Routine extended care,and continuous interventions based on a multidisciplinary teamwork were applied to the control group and observation group,respectively.The functional rehabilitation effect,physical rehabilitation level,stigma and quality of life of the two groups were compared after 3 months of interventions.Results After nursing,the excellent and good rate of functional rehabilitation was significantly higher in the observation group than that of control group(65.22%vs 43.48%,P<0.05).Patients in the observation group had significantly lower Eastern Cooperative Oncology Group(ECOG)([1.41±0.13]points vs[1.71±0.15]points)and Changhai Pain Rating Scale([3.38±1.19]points vs[4.01±1.27]points)than those of the control group(both P<0.05).In the observation group,the Stigma Scale for Chronic Illnesses(SSCI)scores were significantly lower than those of the control group([84.20±7.45]points vs[91.48±7.91]points,P<0.05).In the observation group,the 36-Item Short Form Survey(SF-36)scores were significantly higher than those of the control group(P<0.05).Conclusion The application of continuous interventions based on a multidisciplinary teamwork to postoperative patients with spinal tumors can achieve remarkable results,which can not only improve the functional rehabilitation effect and physical rehabilitation,but also reduce the stigma and promote the further improvement of quality of life.

multidisciplinary teamworkcontinuous interventionspinal tumorfunctional rehabilitationquality of life

邢淼、于丽、魏婕、刘乐、胡杰、祝平

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100050 北京市,北京天坛医院神经外科

多学科团队合作 延续性干预 脊髓肿瘤 功能康复 生活质量

2024

河北医药
河北省医学情报研究所

河北医药

CSTPCD
影响因子:1.075
ISSN:1002-7386
年,卷(期):2024.46(11)
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