Application of the multidisciplinary collaborative case management model in gynecological cancer patients undergoing chemotherapy
多学科协作个案管理模式在妇科肿瘤化疗患者中的应用研究

摘要

目的 研究多学科协作（MDT）个案管理模式在妇科肿瘤化疗患者中应用的效果，给临床管理方案的优化提供依据。方法 选择2024年1月到2025年12月接受化疗的妇科肿瘤患者40例，根据管理方式分成对照组和观察组各20例，对照组为常规管理，观察组为MDT个案管理。比较两组患者治疗前后的躯体功能评分、心理状态评分、化疗不良反应发生率、治疗依从性、营养指标、住院相关指标。结果 治疗后观察组躯体功能评分（82.35±6.72）大于对照组（73.14±7.58），SAS、SDS低于对照组。化疗不良反应率观察组为21.67%，比对照组43.33%低（χ²=8.236，P=0.004）；依从性为95.00%，比对照组81.67%高。结论 MDT个案管理模式可以改善妇科肿瘤化疗患者的躯体功能和心理状态，降低化疗不良反应，提高依从性，改善营养状况，缩短住院时间，降低费用，临床应用价值高，值得推广。

Abstract

Objective To investigate the effectiveness of a multidisciplinary team (MDT) case management model in gynecological cancer patients undergoing chemotherapy, providing evidence for optimizing clinical management strategies.
Methods A total of 40 gynecological cancer patients receiving chemotherapy from January 2024 to December 2025 were enrolled and randomly assigned into a control group (n=20,conventional management) or an observation group (n=20,MDT case management). Outcomes assessed included physical function scores, psychological status scores, incidence of chemotherapy-related adverse reactions, treatment adherence, nutritional indicators, and hospitalization-related metrics before and after treatment.
Results After intervention, the observation group demonstrated significantly higher physical function scores (82.35 ± 6.72 vs. 73.14 ± 7.58), lower anxiety (SAS) and depression (SDS) scores compared to the control group. The incidence of chemotherapy adverse reactions was 21.67% in the observation group, significantly lower than 43.33% in the control group (χ² = 8.236, P = 0.004). Treatment adherence was 95.00% in the observation group versus 81.67% in the control group.
Conclusion   The MDT case management model effectively improves physical function and psychological well-being, reduces chemotherapy-related adverse effects, enhances treatment adherence, improves nutritional status, shortens hospital stay, and reduces medical costs. This model holds high clinical value and is recommended for wider implementation.