穆泽尔模型在食管癌放疗患者摄食相关症状群护理中的应用

穆泽尔模型在食管癌放疗患者摄食相关症状群护理中的应用

王金云,郭建霞,张曦霞

南通市肿瘤医院,南通市肿瘤医院,南通市肿瘤医院放疗科

收稿日期:2018-01-09 修回日期:2018-04-25 出版日期:2018-03-25

The Application of Muetzel′s Model in the Nursing of Feeding Related Symptoms in Patients with Esophageal Cancer under Radiotherapy

WANG Jinyun,GUO Jianxia and ZHANG Xixia

Nantong Tumor Hospital,Nantong Tumor Hospital,南通市肿瘤医院放疗科

Received:2018-01-09 Revised:2018-04-25 Online:2018-03-25

摘要/Abstract

摘要： 目的：探讨穆泽尔模型在食管癌放疗患者摄食相关症状群护理中的应用效果，包括患者摄食相关症状缓解及护患双满意度的改善情况等。方法：将100例首次进行食管癌放疗患者按随机数字表法分为干预组和对照组，每组50例。对照组按食管癌放疗一般护理进行常规护理，干预组把穆泽尔模型作为护理框架，将多种护理理论有机融合实施护理，分析各种症状之间的关联性，找出引起食欲不振的主要问题，将食欲不振作为关键性问题，其他为由食欲不振引起的次要问题，并注重解决主要问题及关键性问题。观察两组放疗前后大生化血常规主要营养指标，放疗5周时的摄食症状群缓解率；放疗结束时两组患者对护理人员的满意度；护理人员对工作的满意度。结果：放疗前两组主要营养指标比较差异无统计学意义(P>0.05)；放疗后两组主要营养指标比较差异有统计学意义(P<0.05)；两组患者放疗5周时的摄食症状群缓解率比较，差异有统计学意义(P<0.05)，干预组高于对照组；两组患者对护理的满意度及护理人员对工作的满意度比较差异有统计学意义(P<0.05)，干预组高于对照组。结论：以穆泽尔模型作为护理框架，能有效减轻食管癌放疗患者摄食相关症状群的严重影响，提高双满意度。

Abstract: Objective： To explore the application of Muetzel′s Model in the nursing of feeding related symptoms in patients with esophageal cancer under radiotherapy ， including feeding related symptoms remission in patients and the improvement of nurses and patients satisfaction， etc. Methods： 100 patients with esophageal cancer under radiation therapy for the first time were divided into the intervention group and the control group according to random number table method， 50 cases in each group. The control group used routine care for esophageal cancer radiotherapy ； the intervention group used Muetzel′s Model care as the nursing framework， implement a variety of nursing care theory； analyses the correlation between symptoms and find out the main problems that cause loss of appetite， take loss of appetite as key issues， and others as minor problems caused by loss of appetite， and pay attention to solve the main problems and key issues. The main nutritional indexes of routine biochemical blood before and after radiotherapy， feeding symptoms remission rate after 5 weeks of radiotherapy， satisfaction of patients and nursing staff at the end of the radiation therapy of the two groups were observed. Results： Before radiotherapy， the difference of main nutrition index between the two groups had no statistical significance (P>0.05). After radiotherapy， the difference of main nutrition index between the two groups had statistical significance (P<0.05)， the intervention group was better than the control group. The difference of the feeding symptoms remission rate after 5 weeks of radiotherapy between the two groups of patients was statistically significant (P<0.05)， the intervention group was higher than the control group. The differences of patients satisfaction of nursing and nursing staff job satisfaction between the two groups were statistically significant (P<0.05)， the intervention group were higher than the control group. Conclusion： Muetzel′s Model as the nursing framework can effectively reduce the impact of feeding related symptoms in patients with esophageal cancer under radiotherapy， improve patients and nursing staff satisfaction.

王金云,郭建霞,张曦霞. 穆泽尔模型在食管癌放疗患者摄食相关症状群护理中的应用[J]. .

WANG Jinyun,GUO Jianxia and ZHANG Xixia. The Application of Muetzel′s Model in the Nursing of Feeding Related Symptoms in Patients with Esophageal Cancer under Radiotherapy[J]. .

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