MDT精细化护理对少数民族食管癌根治术患者心理状况的影响研究

MDT Fine Care to Ethnic Minority Psychological Status of Patients with Esophageal Cancer Radical Impact Study

摘要: 目的：探讨MDT精细化护理对少数民族食管癌根治手术患者心理状况的影响效果，以期改善少数民族食管癌手术患者的生存质量。方法：以我院胸外科2015年7月~2016年6月进行食管癌根治手术的少数民族患者80例为研究对象，随机分成两组，实验组40例，对照组40例。对照组采用传统的常规护理，实验组在常规护理的基础上采用MDT精细化管理护理，MDT包括医师、责任护师、心理师、营养师，两组患者干预时间均为4周，干预前及干预1个月后对两组患者采用贝克抑郁自评量表、健康促进生活方式量表(HPLP-ll)、护理满意度调查表进行评分。结果 两组患者干预前的抑郁评分无统计学差异(p > 0.05)，干预后有差异有统计学意义(p < 0.05)；两组患者健康促进生活方式评分明显提高(p < 0.05)，与对照组比较，护理后试验组的健康促进生活方式评分提高明显，差异有统计学意义(p < 0.05)；护理满意度均高于对照组，两组比较均差异有统计学意义(P < 0.05)。结论：MDT精细化护理可改善食管癌患者的心理状态，提高患者的依从性，提高患者的生命质量有效地提高医疗护理质量及患者的满意度，值得在临床中推广应用。

Abstract: Objective: to explore the influential effects of MDT refinement care for the national minority pa-tients with esophageal cancer in order to improve the quality of the minority survival in the eso-phageal cancer surgery. Method: take 80 cases from the patients of national minority with eso-phageal cancer who had radically thoracic surgery in our hospital in July 2015 - June 2016 as the research object, and divide them randomly into two groups, 40 cases in experimental group and 40 cases in control group. The control group used the traditional routine nursing and the experimental group on the basis of conventional nursing care, using MDT of fine management MDT which includes physicians, responsibility nurses, therapists, nutritionists. The intervention time of two groups of patients was 4 weeks. Before ıntervention and after intervention in 1 months, two groups of patients used the beck depression self rating scale, health promoting lifestyle scale (HPLP - ll) rating and nursing satisfaction questionnaire to check the scores. Results: the two groups before intervention in patients with depression scores showed no statistical difference (p > 0.05); after the intervention, it was statistically significant difference (p < 0.05); health promoting lifestyle score increased significantly in both groups (p < 0.05), compared with control group, experimental group after nursing health promoting lifestyle score increased significantly, the difference was statistically significant (p < 0.05); nursing satisfaction was higher than the control group, the comparison was similar between the two groups having statistical significance (P < 0.05). Conclusion: MDT fine nursing can improve the psychological state of patients with esophageal cancer and improve patients’ compliance and improve the life quality and effectively improve the quality of medical care and patient's satisfaction, which is worth popularizing in clinical application.