Chen Lijun, Wang Weiyu
Department of Nursing, Wanbei Vocational College of Health Suzhou, Anhui Province, China.
Department of Interventional Oncology, Shanghai General Hospital, Shanghai Jiaotong University School of Medicine Shanghai, China.
Am J Transl Res. 2021 Aug 15;13(8):9743-9749. eCollection 2021.
To explore the advantages of continuous nursing for patients with advanced esophageal cancer after esophageal stent implantation.
A total of 48 patients with advanced esophageal cancer who successfully received esophageal stent implantation in the Department of Oncology, at the First People's Hospital Affiliated with Shanghai Jiao Tong University were divided into the control group (24 cases, receiving routine discharge guidance) and the experimental group (24 cases, receiving continuous nursing through the issuance of a home nursing instruction handbook, dietary transition guidance after discharge, nutrition and food evaluation, and guidance on daily activities, medication, and prevention of complications, etc.). The quality of life (EORTCQLQ-C30), nutritional status (MNA score and the levels of hemoglobin (Hb), serum total protein (TP) and albumin (Alb)), anxious/depressive mental state (HAMA, HAMD), complications and satisfaction were compared between the two groups.
EORTCQLQ-C30, HAMA and HAMD scores of the two groups three months after discharge were lower than those before discharge, and those of the experimental group were lower than those of the control group (all P<0.05). The MNA score and the levels of Hb, TP and Alb in the experimental group three months after discharge had no significant changes compared with those before discharge (all P>0.05), while the MNA score and the levels of Hb, TP and Alb in the control group three months after discharge were lower than those before discharge and those in the experimental group (all P<0.05). The experimental group's nursing satisfaction was higher than that of the control group (P<0.05).
The application of continuous nursing in patients with advanced esophageal cancer after esophageal stent implantation can effectively improve the patients' adverse mental state, nutritional status and quality of life.
探讨延续性护理对晚期食管癌患者食管支架置入术后的应用优势。
选取上海交通大学附属第一人民医院肿瘤科成功行食管支架置入术的48例晚期食管癌患者，分为对照组（24例，接受常规出院指导）和试验组（24例，通过发放家庭护理指导手册、出院后饮食过渡指导、营养与食物评估以及日常活动、用药和并发症预防等指导，接受延续性护理）。比较两组患者的生活质量（EORTC QLQ-C30）、营养状况（MNA评分及血红蛋白（Hb）、血清总蛋白（TP）和白蛋白（Alb）水平）、焦虑/抑郁心理状态（HAMA、HAMD）、并发症及满意度。
两组患者出院3个月后的EORTC QLQ-C30、HAMA及HAMD评分均低于出院前，且试验组低于对照组（均P<0.05）。试验组出院3个月后的MNA评分及Hb、TP和Alb水平与出院前比较差异无统计学意义（均P>0.05），而对照组出院3个月后的MNA评分及Hb、TP和Alb水平低于出院前及试验组（均P<0.05）。试验组护理满意度高于对照组（P<0.05）。
延续性护理应用于晚期食管癌患者食管支架置入术后，可有效改善患者不良心理状态、营养状况及生活质量。
