多學科協作模式出院護理臨床路徑構建對喉下咽腫瘤術后患者自我護理能力的影響

王珊 朱艷芬 尤慧華

[摘要] 目的 探討多學科協作模式出院護理臨床路徑構建對喉下咽腫瘤術后出院患者提高自我護理能力的影響。 方法 隨機選取2018年5月至2020年1月在我科住院并行喉下咽腫瘤手術術后的60例患者作為研究對象，隨機分為試驗組和對照組，每組各30例，對照組進行常規出院護理，試驗組按照多學科協作出院臨床路徑表分階段進行干預，分別在出院前、干預3～6個月后分別應用自我護理能力測定量表（ESCA）、醫學結局研究簡表36項健康調查表（簡稱SF-36）進行調查評分，比較兩組患者自我護理能力和生存質量。 結果 試驗組干預3～6個月后自我護理能力為（115.88±11.25）分，較對照組的（96.62±10.25）分明顯升高，差異有統計學意義（P<0.05）。試驗組干預3～6個月后生活質量評價總分為（78.22±6.63）分，較對照組的（62.22±4.86）分明顯升高，差異有統計學意義（P<0.05）。 結論 多學科協作出院護理臨床路徑構建可以顯著改善喉腫瘤患者自我護理能力和生存質量。

[關鍵詞] 多學科協作;出院臨床路徑;自我護理能力;生存質量

[中圖分類號] R473.7? ? ? ? ? [文獻標識碼] B? ? ? ? ? [文章編號] 1673-9701（2021）21-0180-04

Effects of the construction of clinical pathway of discharge nursing in the multidisciplinary collaborative model on the self-care ability of patients after hypopharyngeal tumor surgery

WANG Shan? ?ZHU Yanfen? ?YOU? Huihua

Department of E.N.T. and Head and Neck Surgery， Jinhua Central Hospital in Zhejiang Province， Jinhua? ?321000， China

[Abstract] Objective To explore the effects of the construction of clinical pathway of discharge nursing in the multidisciplinary collaborative model on the improvement of self-care ability of patients after hypopharyngeal tumor surgery. Methods A total of 60 patients who were hospitalized in our department and given hypopharyngeal tumor surgery from May 2018 to January 2020 were randomly selected as the study subjects in the study. They were randomly divided into 30 cases in the experimental group and 30 cases in the control group. The control group was given routine discharge care， and the experimental group was given intervention in stages according to the clinical pathways of discharge in the multidisciplinary collaborative model. Before discharge from the hospital and 3-6 months after intervention， the Self-Care Ability Assessment Scale （ESCA） and the Medical Outcome Research Summary 36-item Health Questionnaire （SF-36 for short） were used for survey scores. The self-care ability and quality of life were compared between the two groups. Results The self-care ability in the experimental group was （115.88±11.25）points，which was significantly higher than that of （96.62±10.25） points in the control group after 3-6 months of intervention. The difference was statistically significant（P<0.05）. After 3-6 months of intervention in the experimental group， the total score of quality of life evaluation of （78.22±6.63） was significantly higher than that of （62.22±4.86） in the control group. The difference was statistically significant（P<0.05）. Conclusion The construction of clinical pathway of discharge nursing in the multidisciplinary collaborative model can significantly improve the self-care ability and quality of life for the patients with laryngeal tumors.