摘要
目的探讨多学科协作(MDT)护理模式在肿瘤患者肠内营养中的应用效果。方法选取2017年6月至2021年7月芜湖市第二人民医院肿瘤介入科收治的需要肠内营养治疗的66例肿瘤患者作为研究对象,按照随机数字表法,分为观察组与对照组,每组33例。对照组患者仅实施常规护理,观察组患者在对照组的基础上开展MDT护理模式。比较两组患者鼻饲并发症发生率、患者和家属满意度、血清白蛋白、血红蛋白及护理人员能力提升情况的差异。结果观察组患者并发症总发生率为6.06%,低于对照组,出院前患者满意率为96.97%,家属满意率为93.94%,均高于对照组,差异有统计学意义(P<0.05)。观察组护理人员技能提升明显,两组差异均有统计学意义(P<0.05)。入院时两组患者血清白蛋白、血红蛋白的差异均无统计学意义(P>0.05);出院前观察组患者血清白蛋白和血红蛋白均高于对照组,差异有统计学意义(P<0.05);两组患者入院时与出院前血清白蛋白、血红蛋白水平的差值进行比较,差异有统计学意义(P<0.05)。结论MDT护理模式有效改善了患者的营养状况,减低并发症的发生,提高了患者生活质量和满意度,对护理人员专科技能的提升也有帮助。
Objective To explore the effect of multidisciplinarycollaborative(MDT)nursing model in enteral nutrition for tumor patients.Methods Sixty-six tumor patients requiring enteral nutrition treatment in the Tumor Interventional Department of Wuhu Second People’s Hospital from June 2017 to July 2021 were selected as the research objects.According to the random number table method,they were divided into observation group and control group,with 33 cases in each group.The patients in control group only received routine nursing,and the patients in observation group accepted MDT nursing model on the basis of the control group.The incidence of nasal feeding complications,satisfaction of patients and their families,serum albumin,hemoglobin and the ability of nurses were compared between the two groups.Results The total incidence of complications in observation group was 6.06%,which was lower than that in control group.The satisfaction of patients before discharge was 96.97%,and the satisfaction of family members was 93.94%,which was significantly higher than that in control group(P<0.05).The skills of nurses in observation group were significantly improved,and the difference between the two groups was statistically significant(P<0.05).There was no significant difference in serum albumin and hemoglobin between the two groups at admission(P>0.05).Before discharge,the indexes of serum albumin and hemoglobin in observation group were significantly higher than those in control group(P<0.05).The difference in serum albumin and hemoglobin levels between the two groups at admission and before discharge was statistically significant(P<0.05).Conclusions MDT nursing model effectively improves the nutritional status of patients,reduces the occurrence of complications,improves the quality of life and satisfaction of patients,and is also helpful to improve the professional skills of nurses.
作者
张洁
费世早
ZHANG Jie;FEI Shizao(Department of Oncology Intervention,the Second People’s Hospital of Wuhu City,Wuhu 241000,China)
出处
《安徽医学》
2021年第12期1424-1427,共4页
Anhui Medical Journal
基金
芜湖市科技民生专项项目(项目编号:2020ms3-11)。
关键词
多学科协作
护理模式
肿瘤
肠内营养
Multidisciplinary collaboration
Nursing model
Tumor
Enteral nutrition
