Application of MDT based holistic nursing in symptom group management during chemotherapy for colorectal cancer patients
基于MDT模式的整体护理在结直肠癌患者化疗期间症状群管理中的应用

摘要

目的 探讨在结直肠癌患者化疗期间实施基于MDT模式（多学科诊疗模式）的整体护理对患者症状群管理的应用价值。方法 选取2023年4月至2024年5月本院收治的64例接受化疗治疗的结直肠癌患者，根据奇偶数法分组为对照组（常规化疗护理，32例）和观察组（基于MDT模式的整体护理，32例）。对比两组护理前后的症状群管理质量，并比较两组化疗护理期间的并发症发生风险。结果 护理后，观察组在症状群（消化道、情绪、病症、运动及神经）管理质量评分均高于对照组，且并发症发生率低于对照组（P＜0.05）。结论 对结直肠癌患者在化疗期间采取基于MDT模式的整体护理方案，能提高症状群管理质量，并保障护理安全，值得推广。

Abstract

Objective To explore the application value of implementing holistic nursing based on MDT model (multidisciplinary diagnosis and treatment model) for symptom group management in colorectal cancer patients during chemotherapy.
Methods 64 colorectal cancer patients who received chemotherapy treatment in our hospital from April 2023 to May 2024 were selected and divided into a control group (conventional chemotherapy nursing, 32 cases) and an observation group (overall nursing based on MDT mode, 32 cases) according to the odd even method. Compare the quality of symptom group management before and after two groups of nursing, and compare the risk of complications during chemotherapy nursing between the two groups.
Results After nursing, the observation group had higher scores in the management quality of symptom groups (digestive tract, emotions, symptoms, exercise, and nerves) than the control group, and the incidence of complications was lower than that of the control group (P<0.05).
Conclusion   Adopting a holistic nursing plan based on MDT model for colorectal cancer patients during chemotherapy can improve the quality of symptom group management and ensure nursing safety, which is worth promoting.