Abstract:

Objective　To explore the impact of the multidisciplinary collaborative management model led by nurses on the postoperative survival quality of patients with laryngeal cancer. Methods　The patients with laryngeal cancer treated at Hunan Provincial People's Hospital from April 2023 to March 2024 were selected as the research objects and divided into two groups according to the admission time. The 30 patients treated from October to September 2023 were set as a control group, including 28 males and 2 females who were (63.47±8.92) years old. The 32 patients treated from October 2023 to March 2024 were set as an experimental group, including 31 males and 1 females who were (63.22±9.08) years old. The control group received routine nursing care for laryngeal cancer surgery; in addition, the experimental group was given a multidisciplinary collaborative management model led by nurses. The survival quality and self-efficacies within 6 months after surgery and the satisfaction one month after surgery were compared between the two groups. The independent sample t test, χ² test, and rank sum test were used. Results　Six months after surgery, the scores of survival quality and self-efficacy in the experimental group were higher than those in the control group (1 029.28±28.17 vs. 915.27±19.63 and 34.28±3.29 vs. 29.67±4.16), with statistically differences (both P<0.05). The satisfaction rate one month after surgery of the experimental group was higher than that of the control group [100.0% (32/32) vs. 93.3% (28/30)], with a statistical difference (P=0.035). Conclusion The nurse-led multidisciplinary collaborative nutritional management model for patients with laryngeal cancer is conducive to improving their survival quality after surgery, self-efficacy, and nursing satisfaction.

Key words:

Laryngeal cancer, Nurse-led, Multidisciplinary collaboration, Survival quality

摘要：

目的　探讨以护士为主导的多学科协作管理模式对喉癌患者术后生存质量的影响。方法　采用病例对照研究，选取2023年4月至2024年3月湖南省人民医院收治的喉癌患者为研究对象，按照入院时间分为两组。2023年4月至9月收治的30例患者纳入对照组，其中男28例，女2例，年龄（63.47±8.92）岁；2023年10月至2024年3月收治的32例患者纳入试验组，其中男31例，女1例，年龄（63.22±9.08）岁。对照组采用喉癌手术的常规护理，试验组在对照组基础上给予以护士为主导的多学科协作管理模式。比较两组患者术后6个月的生存质量、自我效能及术后1个月的满意度。采用独立样本t检验、χ²检验及秩和检验进行统计比较。结果　术后6个月，试验组生存质量及自我效能评分分别为（1 029.28±28.17）分、（34.28±3.29）分，均高于对照组［（915.27±19.63）分、（29.67±4.16）分］，差异均有统计学意义（均P<0.05）。试验组术后1个月满意度［100.0%（32/32）］高于对照组［93.3%（28/30）］，差异有统计学意义（P=0.035）。结论　对喉癌患者实施以护士为主导的多学科协作管理模式，有利于提高患者术后生存质量，提升自我效能及满意度。

关键词:

喉癌, 护士主导, 多学科协作, 生存质量