功能互补式多途径延伸护理服务在胸中段食管癌患者术后的应用

徐君　刘畅

【摘要】 目的：分析功能互补式多途径延伸护理服务对胸中段食管癌患者术后的应用效果。方法：选取2018年1月-2019年5月笔者所在医院95例胸中段食管癌患者，将2018年1-9月46例作为对照组，接受常规护理;将2018年10月-2019年5月49例作为观察组，在对照组基础上接受功能互补式多途径延伸护理服务。比较两组饮食遵医度、营养状况[营养风险筛查量表（NRS-2002）]评分、干预前后生活质量[癌症患者生活质量量表（EORTCQLQ-C30）]评分。结果：观察组饮食遵医度高于对照组（P<0.05）;干预后，观察组NRS-2002评分≥3分显著少于对照组，EORTCQLQ-C30评分显著高于对照组（P<0.05）。结论：将功能互补式多途径延伸护理服务应用于胸中段食管癌患者中，能提高饮食遵医度，降低营养不良发生风险，改善生活质量。

【关键词】 功能互补式 多途径 延伸护理 胸中段食管癌

doi：10.14033/j.cnki.cfmr.2020.18.032 文献标识码 B 文章编号 1674-6805（2020）18-00-03

Application of Functional Complementary and Multi-channel Extended Nursing Service in Patients with Middle Thoracic Esophageal Cancer after Operation/XU Jun， LIU Chang. //Chinese and Foreign Medical Research， 2020， 18（18）： -77

[Abstract] Objective： To analyze the application effect of functional complementary and multi-channel extended nursing service in patients with middle thoracic esophageal cancer after operation. Method： From January 2018 to May 2019， 95 cases of middle thoracic esophageal cancer admitted to our hospital were selected， and 46 cases from January to September 2018 were selected as the control group and received routine nursing， and 49 cases from October 2018 to May 2019 were selected as the observation group and received functional complementary and multi-channel extended nursing service on the basis of the control group. The dietary compliance， scores of nutritional status [nutritional risk screening scale （NRS-2002）]， the scores of quality of life before and after the intervention [cancer patients quality of life scale （EORTCQLQ-C30）] of the two groups were compared. Result： The dietary compliance of the observation group was higher than that of the control group （P<0.05）. After the intervention， NRS-2002 score ≥3 points in the observation group was less than that of the control group， and EORTCQLQ-C30 score was higher than that of the control group （P<0.05）. Conclusion： The application of functional complementary and multi-channel extended nursing service in patients with middle thoracic esophageal cancer can improve their dietary compliance， reduce the risk of malnutrition， and improve the quality of life.

[Key words] Functional complementarity Multi-channel Extended nursing Middle thoracic esophageal cancer

First-authors address： The Peoples Hospital of Tuanfeng， Tuanfeng 438800， China

食管癌為发生于食管上皮组织的恶性肿瘤，是临床常见消化道疾病，其中胸中段食管癌发生率较高。手术切除是目前临床治疗胸中段食管癌的首选方法，但患者在术后需经历较长的饮食过渡期，导致营养状况不容乐观[1]。受多种因素影响，食管癌患者饮食过渡期多在居家环境中完成，但由于过渡期饮食要求复杂、严格，导致部分患者饮食遵医度较低，加大了营养不良发生风险。而功能互补式多途径延伸护理服务是一种在多途径延伸护理服务基础上实现不同途径间的功能互补，帮助患者正确对待健康问题，以提高治疗依从性，改善预后的护理模式。基于此，本研究选取笔者所在医院95例胸中段食管癌患者，旨在分析功能互补式多途径延伸护理服务的应用效果，分析如下。

1 资料与方法

1.1 一般资料

选取2018年1月-2019年5月笔者所在医院95例胸中段食管癌患者。……