Ma Wei, Zhang Lan, Wang Chunxiu, Xu Xiaona
Department of General Surgery, Liaoning Cancer Hospital and Institute, Shenyang, China.
Department of Gastric Surgery, Liaoning Cancer Hospital and Institute, Shenyang, China.
Iran J Public Health. 2022 Mar;51(3):535-543. doi: 10.18502/ijph.v51i3.8929.
To analyze the effect of multidisciplinary team (MDT) collaborative nursing model combined with mind mapping teaching method on postoperative complications and mental health of patients with advanced pancreatic cancer (APC).
The clinical data of 100 APC patients treated in Liaoning Cancer Hospital and Institute, Shenyang, China (Dec 2018 - Dec 2020) were retrospectively analyzed. They were randomly and equally split into group J and group Q. The patients of group J were nursed with mind mapping teaching method, while those of group Q were nursed with MDT collaborative nursing model combined with mind mapping teaching method to compare the incidence of complications, quality of life (QOL) and mental health between the two groups after nursing.
After nursing, the SAS, SDS and NRS scores decreased in both groups, with the notably lower scores in group Q compared with group J ( < 0.05). After nursing, the QOL scores increased in both groups, with the notably higher scores in group Q compared with group J ( < 0.05). Compared with group J, the nursing satisfaction in group Q was notably higher while the incidence of complications was notably lower ( < 0.05).
The MDT collaborative nursing model combined with mind mapping teaching method in postoperative nursing of APC patients can improve negative emotions such as anxiety and depression, enhance the QOL, alleviate pain, reduce the incidence of postoperative complications and improve nursing satisfaction, worthy of application and promotion in clinic.
分析多学科团队（MDT）协作护理模式联合思维导图教学法对晚期胰腺癌（APC）患者术后并发症及心理健康的影响。
回顾性分析2018年12月至2020年12月在中国沈阳辽宁省肿瘤医院及研究所接受治疗的100例APC患者的临床资料。将他们随机等分为J组和Q组。J组患者采用思维导图教学法进行护理，而Q组患者采用MDT协作护理模式联合思维导图教学法进行护理，比较两组护理后并发症发生率、生活质量（QOL）及心理健康状况。
护理后，两组的SAS、SDS和NRS评分均降低，且Q组评分显著低于J组（<0.05）。护理后，两组的QOL评分均升高，且Q组评分显著高于J组（<0.05）。与J组相比，Q组的护理满意度显著更高，而并发症发生率显著更低（<0.05）。
MDT协作护理模式联合思维导图教学法应用于APC患者术后护理，可改善焦虑、抑郁等负面情绪，提高生活质量，减轻疼痛，降低术后并发症发生率，提高护理满意度，值得临床推广应用。
