Effect of combined MDT model on clinical outcomes of cervical cancer patients after surgery
医护康联合MDT模式对宫颈癌患者术后临床结局的影响

摘要

目的 探讨医护康联合MDT模式对宫颈癌根治术后患者短期临床结局的影响。方法 选取2022年1月-12月广东省某三级甲等医院妇科收治的136例宫颈癌术后患者为研究对象，根据随机数字法分为MDT组（68例）和非MDT组（68例）。收集患者的基线资料，出院时对两组患者进行出院满意度调查，之后对两组患者进行为期12个月的随访，对比两组患者的生活质量、自我管理、治疗依从性、并发症发生率。结果 共纳入136例患者，基线资料具有可比性（P＞0.05）。MDT组患者的出院满意度、生活质量及自我管理能力评分均高于非MDT组患者（P＜0.05）。MDT组患者治疗依从率高于非MDT组患者（P＜0.05）。MDT组患者并发症发生率低于非MDT组患者（P＜0.05）。结论 医护康联合MDT模式能改善宫颈癌术后患者短期临床结局，提高患者的出院满意度、生活质量、自我管理水平和治疗依从性，降低并发症发生率。

Abstract

Objective To investigate the impact of the Nurturing Healthcare and Rehabilitation (NHR) combined MDT model on short-term clinical outcomes in patients after radical cervical cancer surgery.
Methods A total of 136 postoperative cervical cancer patients admitted to the gynecology department of a Grade III-A hospital in Guangdong Province between January and December 2022 were selected as subjects. The patients were randomly divided into an MDT group (68 cases) and a non-MDT group (68 cases). Baseline data were collected, discharge satisfaction surveys were conducted for both groups, followed by a 12-month follow-up to compare quality of life, self-management ability, treatment adherence, and complication rates between the groups.
Results The baseline data of all 136 patients were comparable (P>0.05). Patients in the MDT group showed higher discharge satisfaction, better quality of life, and improved self-management ability scores compared to the non-MDT group (P<0.05). Treatment adherence was also higher in the MDT group than in the non-MDT group (P<0.05), while the complication rate was lower in the MDT group (P<0.05).
Conclusion   The NHR combined MDT model can improve short-term clinical outcomes in postoperative cervical cancer patients, enhance discharge satisfaction, quality of life, self-management capabilities, and treatment adherence, while reducing complication rates.