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目的探讨医护协同模式在癌症晚期患者姑息治疗中的应用效果。方法将2014年1-12月收治的癌症晚期姑息治疗患者231例作为观察组,另将2013年1-12月收治的癌症晚期姑息治疗的患者245例作为对照组。对照组患者应用常规姑息治疗和护理。观察组患者在对照组基础上应用协同护理模式。对比2组患者治疗依从性、症状缓解情况及护理工作满意度。结果观察组饮食、用药、配合治疗及日常活动依从率均高于对照组,差异有统计学意义(P<0.05或P<0.01)。观察组疼痛、咳嗽咯痰、恶心呕吐、便秘及睡眠障碍缓解率均高于对照组,差异有统计学意义(P<0.05或P<0.01)。在入院宣教,出院指导,服务态度,技术水平,沟通交流,健康宣教,主动护理,检查指导,用药指导以及整体满意度等10个方面,观察组的满意率均高于对照组,差异均有统计学意义(P<0.05或P<0.01)。结论协同护理模式在癌症晚期患者姑息治疗中应用效果明显,值得在临床推广应用。
Objective To explore the application effect of medical coordination pattern in palliative treatment of advanced cancer patients. Methods 231 patients with advanced cancer palliative care admitted from January to December 2014 were selected as the observation group and 245 patients with advanced cancer palliative care admitted from January 2013 to December 2013 as control group. Patients in the control group were treated with conventional palliative care and nursing. Observation group patients in the control group based on the application of collaborative care model. Comparing the two groups of patients compliance, symptom relief and nursing job satisfaction. Results The compliance rates of diet, medication, combination therapy and daily activities in the observation group were significantly higher than those in the control group (P <0.05 or P <0.01). The observation group pain, cough expectoration, nausea and vomiting, constipation and sleep disorders relief rate was higher than the control group, the difference was statistically significant (P <0.05 or P <0.01). The satisfaction rate of the observation group was higher than that of the control group in the aspects of admission education, discharge guidance, service attitude, technical level, communication, health education, active nursing, examination and guidance, medication guidance and overall satisfaction, the differences were Statistical significance (P <0.05 or P <0.01). Conclusion Collaborative nursing model is effective in palliative treatment of patients with advanced cancer and is worthy of clinical application.