多学科教育团队式临床护理路径对癌症患者心理韧性、治疗依从性、疼痛管理及生活质量的影响
The Impact of Multidisciplinary Educational Team-Based Clinical Nursing Pathway on the Psychological Resilience, Treatment Adherence, Pain Management and Quality of Life in Cancer Patients.
作者信息
Wang Xue, Wang Hui, He Jing, Li Xia, Cang Yanhong
机构信息
Jiangsu College of Nursing, Jiangsu, China.
Department of Nursing, Huai'an Second People's Hospital (The Affiliated Huaian Hospital of Xuzhou Medical University), Jiangsu, China.
出版信息
Iran J Public Health. 2024 Apr;53(4):904-912. doi: 10.18502/ijph.v53i4.15567.
BACKGROUND
We aimed to investigate the impact of multidisciplinary educational team-based clinical nursing pathway on the psychological resilience, treatment adherence, pain management and quality of life in cancer patients.
METHODS
From 2019 to 2020, eighty two cancer patients were selected and randomly divided into the control group and the observational group. Both groups were treated with routine oncology nursing and the multidisciplinary educational team-based clinical nursing pathway, respectively. Psychological resilience, pain management and qualify of life were assessed by the Chinese version of the Connor-Davidson resilience scale, revised American Pain Society Patient Outcome Questionnaire and the Nottingham health profile, respectively. Treatment adherence was semi-quantitatively classified as "good", "fair" and "bad".
RESULTS
Patient's psychological resilience, compliance, pain outcome and quality of life were similar between the control group and the observational group on admission. Patient's psychological resilience, compliance and pain outcome in the observational group were significantly superior to those in the control group one day prior to discharge and 2 months post-discharge (all <0.05). The scores of energy, emotions, sleep and mobility were significantly different between the observational group and the control group one day prior to discharge and 2 months post-discharge (all <0.05). Significant improvements were observed with regard to the scores of energy, sleep and mobility in the control group 2 months post-discharge, whereas the scores of energy, emotions, sleep and mobility improved dramatically in the observational group (all <0.05).
CONCLUSION
Compared with routine oncology nursing, multidisciplinary educational team-based clinical nursing pathway could improve patient's psychological resilience, treatment adherence, pain management and quality of life.
背景
我们旨在研究多学科教育团队为基础的临床护理路径对癌症患者心理韧性、治疗依从性、疼痛管理及生活质量的影响。
方法
2019年至2020年，选取82例癌症患者并随机分为对照组和观察组。两组分别接受肿瘤常规护理和多学科教育团队为基础的临床护理路径。心理韧性、疼痛管理及生活质量分别采用中文版康纳-戴维森韧性量表、修订版美国疼痛学会患者结局问卷及诺丁汉健康量表进行评估。治疗依从性半定量分为“好”“一般”和“差”。
结果
入院时，对照组和观察组患者的心理韧性、依从性、疼痛结局及生活质量相似。观察组患者在出院前一天及出院后2个月时的心理韧性、依从性及疼痛结局均显著优于对照组（均P<0.05）。出院前一天及出院后2个月时，观察组与对照组在精力、情绪、睡眠及活动能力评分上存在显著差异（均P<0.05）。出院后2个月，对照组在精力、睡眠及活动能力评分上有显著改善，而观察组在精力、情绪、睡眠及活动能力评分上均有显著改善（均P<0.05）。
结论
与肿瘤常规护理相比，多学科教育团队为基础的临床护理路径可改善患者的心理韧性、治疗依从性、疼痛管理及生活质量。
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