Exploration of cancer palliative care model based on multidisciplinary team collaboration
基于多学科团队协作的癌症安宁疗护模式探索

摘要

目的 探索基于多学科团队协作的癌症安宁疗护模式的应用效果，为提升癌症终末期患者生活质量提供有效方案。方法 选取 2024 年 1 月至 2025 年 1 月期间，于我院肿瘤科招募 100 例患者，随机分为对照组和实验组，每组 50 例。对照组采用常规护理，实验组在常规护理的基础上采用多学科团队协作的安宁疗护模式，组建包含肿瘤科医生、安宁疗护专科护士、心理治疗师、营养师、康复治疗师及社会工作者的团队，为患者提供综合照护。结果 实验组患者在癌症患者生活质量核心量表（QLQ-C30）评分、焦虑自评量表（SAS）与抑郁自评量表（SDS）评分改善，以及疼痛、恶心呕吐、呼吸困难等症状缓解率方面均显著优于对照组（P<0.05）。结论 基于多学科团队协作的癌症安宁疗护模式能有效提升癌症终末期患者的生活质量，改善心理状态，缓解症状，值得临床推广应用。

Abstract

Objective To explore the application effects of a palliative care model for cancer based on multidisciplinary team collaboration, providing an effective solution to improve the quality of life for patients with advanced cancer.
Methods From January 2024 to January 2025,100 patients were recruited from our hospital's oncology department and randomly divided into a control group and an experimental group, each consisting of 50 patients. The control group received routine care, while the experimental group, in addition to routine care, adopted a palliative care model based on multidisciplinary team collaboration. A team comprising oncologists, palliative care specialists, psychotherapists, nutritionists, rehabilitation therapists, and social workers was formed to provide comprehensive care.
Results Patients in the experimental group showed significant improvements in core measures of cancer patient quality of life (QLQ-C30), anxiety self-rating scale (SAS), and depression self-rating scale (SDS) scores, as well as in the relief rates of symptoms such as pain, nausea and vomiting, and dyspnea, compared to the control group (P<0.05).
Conclusion   A palliative care model for cancer based on multidisciplinary team collaboration can effectively enhance the quality of life for patients with advanced cancer, improve their psychological state, and alleviate symptoms, making it worthy of clinical promotion and application.