医护一体化在达芬奇机器人辅助肝癌术后放疗患者中的应用研究

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中文摘要：目的:探究医护一体化护理在达芬奇机器人辅助肝癌术后放疗患者中的应用价值.方法:采用前瞻性研究方式,选取 2020 年 6 月—2023 年 6 月于空军军医大学第一附属医院接受达芬奇机器人辅助肝癌术后放疗的患者 106 例,采用随机数字表法将其分为对照组和试验组(每组53 例).对照组接受常规肿瘤放疗护理管理,试验组接受医护一体化护理干预.比较两组患者的癌症患者生命质量测定量表(EORTC QOL-C30)评分、癌因性疲乏程度、营养状况以及干预不同时间段自我护理能力差异.结果:干预前,两组患者EORTC QOL-C30各维度评分比较,差异无统计学意义(P>0.05).干预后,两组患者EORTC QOL-C30 各维度评分均增加,且试验组情绪功能、角色功能、躯体功能、社会功能、认知功能、总体健康评分比对照组更高(P<0.05).与对照组相比,试验组总疲乏率和营养不良发生率更低(P<0.05).两组患者干预后 30 d、干预结束后相比,试验组ESCA评分更高(P<0.05).结论:医护一体化护理可提高达芬奇机器人辅助肝癌术后放疗患者生活质量与自我护理能力,改善其癌因性疲乏和营养状态.

外文标题：Application of medical and nursing integration in liver cancer patients treated with radiotherapy after Da Vinci robot-assisted surgery

外文摘要：Objective:To explore the application value of medical and nursing integration in liver cancer patients treated with radiotherapy after Da Vinci robot-assisted surgery.Methods:A prospective study was performed by selecting 106 patients who received radiotherapy after Da Vinci robot-assisted surgery for liver cancer in the First Affiliated Hospital of Air Force Military Medical University from June 2020 to June 2023.The 106 patients were divided into the control group and the experimental group(53 cases in each group)using a random number table.The control group received conventional nursing intervention for radiotherapy and the experimental group received medical and nursing integration.The EORTC QOL-C30 score,cancer-related fatigue degree,nutrition status and self-care ability were compared between the two groups.Results:Before intervention,there were no significant differences in EORTC QOL-C30 scores between the two groups(P>0.05).After intervention,EORTC QOL-C30 scores of both groups were increased on average in all dimensions,and emotional function,role function,physical function,social function,cognitive function and overall health scores of the experimental group were higher than those of the control group(P<0.05).Compared with the control group,the total fatigue rate of the experimental group was lower(P<0.05).The incidence of malnutrition in the experimental group was lower than that in the control group(P<0.05).After 30 days of intervention and at the end of intervention,the ESCA scores of the experimental group were higher than the control group(P<0.05).Conclusion:Medical and nursing integration can improve the quality of life and self-care ability of liver cancer patients in radiotherapy after Da Vinci robot-assisted surgery,and improve their cancer-related fatigue and nutritional status.

外文关键词：

Medical and Nursing IntegrationSurgical RobotLiver CancerPostoperative Radiotherapy

作者：

程美玲、彭琴、李琳、龙小丽、祁文倩、石娟利

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作者单位：

空军军医大学第一附属医院放疗科陕西西安 710032

空军军医大学第一附属医院肝胆外科陕西西安 710032

关键词：

医护一体化手术机器人肝癌术后放疗

基金：

空军军医大学第一附属医院护理学科助推计划立项项目(2022)

项目编号：

XJHL22D308

出版年：

2024

DOI：

10.12180/j.issn.2096-7721.2024.04.038

机器人外科学杂志(中英文)

世界图书出版有限公司

机器人外科学杂志(中英文)

CSTPCD

ISSN：2096-7721

年,卷(期)：2024.5(4)

参考文献量12