首页|基于多学科团队模式的营养结合情感支持对喉癌患者营养状况、心理状况及并发症的影响

基于多学科团队模式的营养结合情感支持对喉癌患者营养状况、心理状况及并发症的影响

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目的 探讨基于多学科团队(MDT)模式的营养结合情感支持对喉癌患者营养状况、心理状况及并发症的影响.方法 选取2021年2月至2023年2月于空军军医大学第二附属医院耳鼻咽颈外科行喉切除术的喉癌患者80例作为研究对象,按照随机数字表法将其分成两组,各40例.对照组给予常规护理,观察组在对照组基础上给予基于MDT模式的营养结合情感支持护理.比较两组干预前后营养状况、心理状况及并发症情况.结果 干预后,两组血红蛋白、血清白蛋白及总蛋白水平均高于干预前,且观察组高于对照组(P<0.05).干预后,两组焦虑自评量表、抑郁自评量表评分均低于干预前,且观察组低于对照组(P<0.05).观察组术后并发症总发生率低于对照组(P<0.05).结论 基于MDT模式的营养结合情感支持应用于喉癌患者,能有效改善其营养和心理状况,并降低并发症发生率.
Effect of nutrition combined with emotional support based on multidisci-plinary team model on nutritional status,psychological status and compli-cations of patients with laryngeal cancer
Objective To investigate effect of nutrition combined with emotional support based on multidisciplinary team(MDT)model on nutri-tional status,psychological status,and complications of patients with laryngeal cancer.Methods A total of 80 patients with laryngeal cancer under-went laryngectomy at Department of Otolaryngology and Neck Surgery in the Second Affiliated Hospital of Air Force Military Medical University from February 2021 to February 2023 were selected as study subjects.They were divided into two groups by random number table method,with 40 patients in each group.Control group received routine postoperative care for laryngeal cancer,while observation group received nutritional and emo-tional support nursing based on MDT mode on the basis of control group.Nutritional status,psychological status,and complications of two groups before and after intervention were compared.Results After intervention,the levels of hemoglobin,serum albumin,and total protein in two groups were higher than those before intervention,and those of observation group were higher than those of control group(P<0.05).After intervention,the scores of self-rating anxiety scale and self-rating depression scale in two groups were lower than those before intervention,and those of observation group were lower than those of control group(P<0.05).Total incidence rate of postoperative complication in observation group was lower than that in control group(P<0.05).Conclusion The application of nutrition combined with emotional support based on MDT mode in laryngeal cancer pa-tients can effectively improve their nutritional and psychological status,and reduce the incidence rate of complications.

Laryngeal cancerMultidisciplinary teamNutritional supportMindfulness therapyComplicationNutritional statusPsychological status

张玲、赵大庆、王析莹、党李萍、闫美菊、李宁

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空军军医大学第二附属医院耳鼻喉科,陕西西安 710038

空军军医大学第二附属医院神经外科,陕西西安 710038

喉癌 多学科团队 营养支持 正念疗法 并发症 营养状况 心理状况

陕西省重点研发计划

2018ZDCXL-SF-27-1

2024

中国医药导报
中国医学科学院

中国医药导报

CSTPCD
影响因子:1.759
ISSN:1673-7210
年,卷(期):2024.21(14)
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