首页|多学科合作模式的综合干预对食管癌术后患者心理状态和营养状况的影响

多学科合作模式的综合干预对食管癌术后患者心理状态和营养状况的影响

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目的:探讨多学科合作模式(MDT)的综合干预对食管癌术后患者心理状态和营养状况的影响。方法:选取2021年1月-2022年12月在某院进行治疗的120例食管癌术后患者,随机分为MDT组和常规组,各60例,常规组采用常规干预模式,MDT组给予多学科合作模式进行综合干预。对比两组患者干预前后心理状态、营养状态、生活质量和满意度。结果:与常规组比较,MDT组的心理状态指标SAS和SDS评分明显低于常规组(t=5。446,10。871;P<0。001),MDT组的营养状态指标转铁蛋白(TF)、白蛋白(ALB)、前白蛋白(PA)水平均高于常规组(t=8。492,3。358,2。231;P<0。05),MDT组的生活质量的躯体健康能力、心理健康、癌症造成的负担和社会能力4个维度的评分均高于常规组(t=7。746,10。867,14。674,32。460;P<0。05),且 MDT组的满意高于常规组(x2=8。292;P=0。004)。结论:MDT的综合干预可较好改善食管癌术后患者的心理状态、营养状况和生活质量,且提高了患者满意度。
Impact of comprehensive intervention based on multidisciplinary cooperation model on the psychological and nutritional status of postoperative patients with esophageal cancer
Objective:To explore the impact of multidisciplinary collaboration(MDT)on the psychological and nu-tritional status of postoperative patients with esophageal cancer through comprehensive intervention.Methods:A total of 120 postoperative patients with esophageal cancer treated in our hospital from January 2021 to December 2022 were randomly divided into MDT group and conventional group,with 60 cases in each group.The conventional group received conventional intervention mode,while the MDT group received MDT mode for comprehensive intervention.We compared the psychological status,nutritional status,quality of life,and satisfaction of two groups of patients be-fore and after intervention.Results:Compared with the control group,the psychological status indicators SAS and SDS scores of the MDT group were significantly lower(t=5.446,10.871;P<0.001).The nutritional status indica-tors transferrin(TF),albumin(ALB),and prealbumin(PA)levels of the MDT group were higher than those of the control group(t=8.492,3.358,2.231;P<0.05).The scores of the physical health ability,psychological health,cancer burden,and social ability dimensions of the MDT group's quality of life were higher than those of the control group(t=7.746,10.867,14.674,32.460;P<0.05),and the satisfaction of the MDT group was higher than that of the control group(x2=8.292,P<0.01).Conclusion:The comprehensive intervention of MDT can effectively improve the psy-chological status,nutritional status,and quality of life of postoperative patients with esophageal cancer,and increase satisfaction.It is worth promoting and applying.

Esophageal cancerMultidisciplinary collaboration modelPsychological statusNutritional status

楚盼盼、丁密、刘现利

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河南省胸科医院胸外科(郑州)450003

食管癌 多学科合作模式 心理状态 营养状况

2025

中国健康心理学杂志
中国心理卫生协会

中国健康心理学杂志

影响因子:1.264
ISSN:1005-1252
年,卷(期):2025.33(1)