首页|医护一体化模式联合营养饮食指导对食管癌围手术期患者QLQ-C30评分的影响

医护一体化模式联合营养饮食指导对食管癌围手术期患者QLQ-C30评分的影响

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目的 分析医护一体化模式食管癌手术患者应用医护一体化模式联合营养饮食指导的效果。方法 选取 2020年1月至2022年10月期间在河南省胸科医院收治的90例食管癌手术患者,随机分为对照组(n=44)和观察组(n=46)。观察组予以医护一体化护理联合营养饮食指导,对照组予以常规护理。比较两组患者术后恢复情况、应激反应水平、心理状态、生活质量以及术后并发症发生率。结果 两组引流量比较,差异无统计学意义(P>0。05);两组排气时间、拔管时间、住院时间相比,观察组短于对照组,差异有统计学意义(P<0。05)。护理后,两组患者应激反应均降低,观察组低于对照组,差异有统计学意义(P<0。05)。护理后,两组患者心理状态均有所改善,观察组优于对照组,差异有统计学意义(P<0。05)。护理后,两组患者生活质量水平均有所提高,观察组高于对照组,差异有统计学意义(P<0。05)。两组患者并发症发生率相比,观察组较低,差异有统计学意义(P<0。05)。结论 医护一体化模式联合营养饮食指导应用于食管癌围手术期患者,可降低患者应激反应,缓解患者负性情绪,提高生活质量,降低术后并发症发生,加快患者恢复进程。
Impact of the integrated medical and nursing Model combined with nutritional and dietary Guidance on the QLQ C-30 score of perioperative Patients with esophageal Cancer
Objective To analyze the effectiveness of the integrated medical and nursing model combined with nutritional and dietary guidance in patients undergoing esophageal cancer surgery.Methods A total of 90 esophageal cancer surgery patients admitted to Henan Chest Hospital from January 2020 to October 2022 were randomly divided into control group(n=44)and observation group(n=46).The observation group received integrated medical and nursing care combined with nutritional and dietary guidance,while the control group received routine care.The postoperative recovery,stress response levels,psychological status,quality of life,and incidence of postoperative complications between two groups of patients were compared.Results The difference in drainage volume between the two groups was not statistically significant(P>0.05);The observation group had shorter exhaust time,extubation time,and hospitalization time compared to the control group,and the difference was statistically significant(P<0.05).After nursing,the stress response of both groups of patients decreased,and the observation group was lower than the control group,with a statistically significant difference(P<0.05).After nursing,the psychological status of both groups of patients improved,and the observation group was better than the control group,with a statistically significant difference(P<0.05).After nursing,the quality of life of both groups of patients improved,and the observation group was higher than the control group,with a statistically significant difference(P<0.05).The incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The integrated medical and nursing model combined with nutritional and dietary guidance applied to perioperative patients with esophageal cancer can reduce their stress response,alleviate negative emotions,improve their quality of life,reduce postoperative complications,and accelerate their recovery process.

esophageal cancermedical and nursing integrationnutritional dietary guidancequality of life questionnare-30 score

韩晓娟、曹艳、邱红丽

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河南省胸科医院,郑州大学附属胸科医院 胸外五病区,河南 郑州 450000

食管癌 医护一体化 营养饮食指导 QLQ30评分

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LHGJ20220227

2024

临床研究
西安交通大学

临床研究

影响因子:0.234
ISSN:2096-1278
年,卷(期):2024.32(3)
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