文章摘要

多学科慢性病管理模式在子宫内膜异位症患者中的应用

作者: 1刘文婷, 1张莉, 2周倩, 1江璐
1 新疆医科大学第一附属医院妇科，乌鲁木齐 830054
2 新疆维吾尔自治区人民医院体检中心，乌鲁木齐 830011
通讯: 张莉 Email: zhanglixj03@163.com
DOI: 10.3978/j.issn.2095-6959.2022.09.018
基金: 新疆维吾尔自治区自然科学基金(2020D01C248)。

摘要

目的：探讨多学科慢性病管理模式长期护理在子宫内膜异位症患者中的应用效果。方法：选取2019年1月至2021年6月新疆医科大学第一附属医院妇科收治的172例子宫内膜异位症并行手术治疗的患者，随机分为对照组与研究组，其中对照组接受常规治疗和护理，研究组在对照组的基础上采用学科慢性病管理模式进行治疗和护理。收集患者的基本资料，治疗后对患者进行随访。于治疗前和治疗后6个月采用简化的McGill疼痛问卷(short-form McGill Pain Questionnaire，SF-MPQ)评估患者的疼痛水平，采用世界卫生组织生存质量测评量表简表(World Health Organization Quality of Life Assessment Scale，WHOQOL-BREF)中文版评估患者的生活质量，比较患者治疗前和治疗后6个月的疼痛水平及生存质量。治疗后6个月，评估并比较两组患者的满意度。结果：治疗6个月后，两组患者的疼痛分级指数(Pain Rating Index，PRI)评分、视觉模拟评分法(Visual Analogue Scale，VAS)评分以及现有疼痛强度(Present Pain Intensity，PPI)评分均较治疗前显著降低。研究组患者PRI评分[(18.22±3.13) vs (24.63±3.24)，P<0.001]、VAS评分[(2.19±0.54) vs (3.23±0.65)，P<0.001]以及PPI评分[(2.46±0.66) vs (3.78±0.75)，P<0.001]均较对照组显著降低。治疗后，两组患者生存质量评分较治疗前显著提高(P<0.001)，且研究组生存质量评分较对照组显著提高[(86.93±5.37) vs (76.52±5.43)，P<0.001]。研究组患者满意度高于对照组。结论：多学科慢性病管理模式下的长期护理能有效降低患者的疼痛水平，提高患者的生存质量及满意度。
关键词： 子宫内膜异位症；多学科；慢性病管理；疼痛；生存质量

Application of chronic disease management model based on multidisciplinary cooperation in patients with endometriosis

Authors: 1LIU Wenting, 1ZHANG Li, 2ZHOU Qian, 1JIANG Lu
1 Department of Gynecology, First Affiliated Hospital of Xinjiang Medical University, Urumqi 830054, China
2 Department of Medical Examination, People’s Hospital of Xinjiang Uygur Autonomous Region, Urumqi 830011, China

CorrespondingAuthor: ZHANG Li Email: zhanglixj03@163.com

DOI: 10.3978/j.issn.2095-6959.2022.09.018

Foundation: This work was supported by the Natural Science Foundation of Xinjiang Uygur Autonomous Region, China (2020D01C248).

Abstract

Objective: To explore the application of chronic disease management model based on multidisciplinary cooperation in patients with endometriosis. Methods: A total of 172 patients with endometriosis who received surgical treatment at the Department of Gynecology of the First Affiliated Hospital of Xinjiang Medical University from January 2019 to June 2021 were selected as the research subjects. They were randomly divided into a control group and a study group. Patients in the control group received routine treatment and nursing care, whereas patients in the study group received nursing of chronic disease management model based on multidisciplinary cooperation. The basic data of the patients were collected, and the patients were followed up after treatment for 6 months. The short-form McGill Pain Questionnaire (SF-MPQ) was used to assess the level of pain, and the Chinese version of World Health Organization Quality of Life Assessment Scale (WHOQOL-BREF) was used to assess the quality of life. The level of pain and the quality of life of patients were compared before and 6 months after treatment. The satisfaction levels of the 2 groups were assessed and compared 6 months after treatment. Results: Six months after treatment, the Pain Rating Index (PRI) scores, Visual Analogue Scale (VAS) scores and Present Pain Intensity (PPI) scores in both groups were significantly reduced. The PRI scores [(18.22±3.13) vs (24.63±3.24), P<0.001], VAS scores [(2.19±0.54) vs (3.23±0.65), P<0.001] and PPI scores [(2.46±0.66) vs (3.78±0.75), P<0.001] in the study group were significantly lower than those in the control group. After treatment, the quality of life in both groups was significantly improved (P<0.001), and patients in the study group had significantly higher scores than those in the control group [(86.93±5.37) vs (76.52±5.43), P<0.001]. Patients in the study group had a higher proportion of satisfaction than those in the control group. Conclusion: The application of chronic disease management model based on multidisciplinary cooperation can effectively reduce the pain level and improve the quality of life and satisfaction levels in patients with endometriosis.

Keywords： endometriosis; multidisciplinary; chronic disease management; pain; quality of life

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