文章摘要
快速康复背景下以护士为主导的多学科团队营养管理模式在肺癌手术患者中的应用
Application of a nurse-led multiple disciplinary team nutrition management model in patients undergoing lung cancer surgery under the background of rapid rehabilitation
投稿时间:2023-04-11  
DOI:10.3969/j.issn.1000-0399.2023.12.019
中文关键词: 快速康复  多学科团队  营养管理模式  肺癌
英文关键词: Rapid rehabilitation  Multiple Disciplinary Team  Nutrition management model  Lung cancer
基金项目:2021年安徽省护理学会科研课题(编号:AHHLb202133)
作者单位E-mail
王召君 230022 安徽合肥 安徽省胸科医院外科  
黄群 230022 安徽合肥 安徽省胸科医院胸外科  
丁杨杨 230022 安徽合肥 安徽省胸科医院外科  
孟媛媛 230022 安徽合肥 安徽省胸科医院外科  
杨丹丹 230022 安徽合肥 安徽省胸科医院胸外科  
孙露露 230022 安徽合肥 安徽省胸科医院胸外科  
桑莹莹 230022 安徽合肥 安徽省胸科医院护理部 95615252@qq.com 
何红升 230022 安徽合肥 安徽省胸科医院手术室  
吴晓叶 230022 安徽合肥 安徽省胸科医院麻醉科  
杨静文 230022 安徽合肥 安徽省胸科医院肿瘤科  
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中文摘要:
      目的 探究快速康复背景下以护士为主导的多学科团队(MDT)营养管理模式在肺癌手术患者中的应用效果。方法 选择2021年8月至2022年8月在安徽省胸科医院就诊的100例肺癌手术患者作为研究对象,依照随机数字表法将患者分为研究组和对照组,每组各50例,分别实施以护士为主导的多学科团队营养管理和常规护理,比较两组患者干预前后术后康复情况、营养指标、生活质量及患者满意度情况。结果 研究组的胸管留置时间、切口愈合时间、住院时间均短于对照组,差异均有统计学意义(P<0.05);不同时间点(干预前、出院后1个月和出院后3个月)患者的Hb、ALB、PA水平以及NRS评分,差异有统计学意义,且研究组与对照组的Hb、ALB、PA水平及NRS评分在干预前、出院后1个月和出院后3个月比较,差异有统计学意义(P<0.05);研究组患者院后1个月的癌症患者生活质量调查问卷评分均明显高于对照组,且研究组的患者满意度明显高于对照组,差异有统计学意义(P<0.05)。结论 快速康复背景下的以护士为主导的多学科团队营养管理模式在肺癌手术患者中的应用效果确切,有助于提高患者出院后生活质量。
英文摘要:
      Objective To explore the effect of the nurse-led multidisciplinary team(Multiple Disciplinary Team, MDT) nutrition management model in lung cancer surgery patients under the background of rapid rehabilitation.Methods A total of 100 lung cancer patients attending Anhui Chest Hospital from August 2021 to August 2022 were selected and divided into the study group and the control group according to the random number table method, with 50 cases in each. Nnurse-led multidisciplinary team nutrition management and routine care were implemented respectively. The postoperative rehabilitation status, nutritional indicators, quality of life, and patient satisfaction before and after the intervention were compared.Results The chest tube indwelling time, incision healing time, and hospital stay in the study group were shorter than those in the control group. Hb, ALB, PA levels, and NRS scores varied at different time points(before intervention, 1 month, and 3months after discharge), and Hb, ALB, PA levels, and NRS scores varied between the study and control groups before intervention, 1 month after discharge, and 3 months after discharge(P<0.05). In the study group, the questionnaire scores of cancer patients were significantly higher than that of the control group, and the difference was statistically significant(all with P <0.05); And the patient satisfaction in the study group was significantly higher than that in the control group(χ2=5.010, P=0.025).Conclusions The application of the nurse-led multidisciplinary team nutrition management mode under the background of rapid rehabilitation is effective in patients undergoing lung cancer surgery, which is conducive to improving the patients' quality of life after discharge.
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