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中国癌症防治杂志

中国癌症防治杂志 ›› 2017, Vol. 9 ›› Issue (1): 71-74.doi: 10.3969/j.issn.1674-5671.2017.01.15

• 护理研讨 • 上一篇    下一篇

多学科协作模式下护理临床路径对喉癌手术患者生存质量的影响

  

  1. 广西壮族自治区南溪山医院耳鼻咽喉-头颈外科
  • 出版日期:2017-02-25 发布日期:2017-03-24
  • 基金资助:
    广西壮族自治区卫生厅自筹经费科研课题资助项目（Z2012236） 

Effects of multidisciplinary collaboration-based clinical pathway management on quality of life of patients with laryngectomy

  1. Department of Otorhinolaryngology Head and Neck Surgery，Nanxishan Hospital
  • Online:2017-02-25 Published:2017-03-24

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摘要：

目的 探讨多学科协作模式下护理临床路径对喉癌手术患者生存质量的影响。方法 将51例喉癌手术患者按随机数字表法分为试验组26例和对照组25例。通过文献查证并经过预试验处理，构建基于多学科协作模式的喉癌手术护理临床路径。试验组采用护理临床路径的方法，对照组采用常规护理方法。两组患者于术后6个月采用华盛顿大学生存质量表（university of Washington-quality of life ,UW-QOL）评价生存质量。结果 试验组患者术后6个月UW-QOL评分高于对照组（P＜0.001）。结论 多学科协作模式下护理临床路径可提高喉癌手术患者的生存质量。

关键词: 喉肿瘤, 喉切除术, 多学科协作, 临床路径, 生存质量, 护理

Abstract:

 Objective To explore the effects of multidisciplinary collaboration-based clinical pathway management on quality of life of patients with laryngectomy. Methods A total of 51 patients with laryngectomy were randomly divided into the experimental group（n=26） and the control group（n=25）. A clinical pathway based on multidisciplinary collaboration was established following a literature review and preliminary experimental treatment. Patients in the experimental group were given clinical pathway management，while patients in the control group were given routine nursing care during hospitalization. UW-QOL was used to evaluate the quality of life of all patients at 6 months after laryngectomy. Results UW-QOL scores were significantly higher in the experimental group than in the control group（P<0.001）.Conclusions Clinical pathway management based on multidisciplinary collaboration can effectively improve the quality of life of patients with laryngectomy.

Key words: Laryngeal cancer, Laryngectomy, Multidisciplinary collaboration, Clinical pathway,  Survival quality, Nursing