摘要
目的:探讨基于患者大五人格特质的多学科协作护理对消化道肿瘤患者生活质量的影响。方法:将2023年4~9月入组的30例患者设为对照组,接受常规多学科团队协作护理;2023年10月~2024年3月入组的30例患者设为观察组,接受基于大五人格特质的多学科协作护理干预。通过呕吐功能性生活指数(FLIE)评估化疗引起的恶心呕吐,采用生命质量核心量表(QLQ-C30)评估患者的生活质量,并使用焦虑自评量表(SAS)及抑郁自评量表(SDS)评估患者的心理状态。结果:两组干预后FLIE得分低于干预前(P<0.05),观察组FLIE得分下降幅度高于对照组(P<0.01)。两组干预后QLQ-C30、躯体功能、角色功能、社会功能、认知功能及情绪功能得分均高于干预前(P<0.05),且观察组上述各维度得分上升幅度均高于对照组(P<0.01)。两组干预后SAS及SDS得分均低于干预前(P<0.05),且观察组SAS及SDS得分下降幅度均高于对照组(P<0.01)。结论:基于大五人格特质的多学科协作护理显著改善了消化道肿瘤患者的生活质量,有效缓解化疗相关副作用,并减轻患者的焦虑和抑郁症状,具有较高的临床应用价值。
Objective:To observe the impact of multidisciplinary collaborative nursing based on patients'Big Five personality traits on the quality of life in patients with gastrointestinal cancer.Methods:Thirty patients enrolled from April to September 2023 were assigned to the control group and received conventional multidisciplinary team(MDT)care,while another 30 patients enrolled from October 2023 to March 2024 were designated as the observational group and received MDT care plus Big Five personality trait-based interventions.The outcomes were assessed using the Functional Living Index-Emesis(FLIE)for chemotherapy-induced nausea and vomiting.The Quality of Life Questionnaire-Core 30(QLQ-C30),Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS)were used to respectively assess the quality of life and psychological status of the patients.Results:Both groups exhibited significantly lower FLIE scores after intervention(P<0.05),and the decrease range of FLIE score in the observational group was significantly higher than that in the control group.(P<0.01).The scores of QLQ-C30,physical function,role function,social function,cognitive function and emotional function in both groups were significantly higher than those before intervention(P<0.05),and the observational group exhibited significantly greater improvement in the components aforementioned versus controls(P<0.01).Additionally,both groups showed significantly reduced SAS and SDS scores after intervention(P<0.05),and the reduction was more obvious in the observational group than in the control group(P<0.01).Conclusion:The multidisciplinary collaborative care model based on Big Five personality traits is highly clinical value,for it can significantly improve the quality of life in patients with gastrointestinal cancer,effectively alleviate chemotherapy-related side effects,and reduce anxiety and depressive symptoms.
作者
凤春林
刘京菊
郝阳
戴俊
张奇
秦岭
FENG Chunlin;LIU Jingju;HAO Yang;DAI Jun;ZHANG Qi;QIN Ling(Department of Interventional Oncology,The Second People′s Hospital of Wuhu,Wuhu 241000,Anhui,China)
出处
《皖南医学院学报》
2026年第1期90-94,共5页
Journal of Wannan Medical College
基金
安徽省卫生健康科研项目(AHWJ2023A20165)
芜湖市科技项目(2023rkx24)。
关键词
大五人格特质
多学科团队
消化道肿瘤
生活质量
)Big Five personality traits
multidisciplinary team
gastrointestinal cancer
quality of life
