| PurposeThrough the implementation of discharge plan,the effect of discharge plan on discharge readiness of patients undergoing esophageal cancer surgery and their caregivers was discussed.To investigate the effect of discharge plan on nutritional status and quality of life of patients undergoing esophageal cancer surgery.To formulate discharge standards and paths for patients undergoing esophageal cancer surgery,standardize the continuous medical service process for patients undergoing esophageal cancer surgery,so as to standardize and unify the continuous care for patients undergoing esophageal cancer surgery.MethodsFrom January 2020 to October 2020,patients and their primary caregivers who underwent esophageal cancer surgery in the thoracic surgery department of a Grade III A hospital in Changchun were selected,and patients with esophageal cancer who were admitted to the hospital from January 2020 to May 2020 and met the standards of admission and discharge were set as the control group by the historical control method.Patients with esophageal cancer who were admitted from June to October and met the standards of intake and discharge were set as the experimental group.Patients and their primary caregivers were investigated at admission,discharge,and one month after discharge.The survey tools included: Patients’ Discharge Readiness Scale,Caregivers’ Discharge Readiness Scale,Patients’ Subjective Global Assessment Scale(PG-SGA),General Data Survey and Needs Assessment Form for Esesophageal Cancer Surgery Patients,and European Quality of Life Scale for Cancer Patients(ERORTC QLQ-30).The control group was given routine nursing guidance for patients undergoing esophageal cancer surgery in thoracic surgery;On the basis of the control group,the experimental group was given a discharge plan,which included two parts:in-hospital and out-hospital.Part of the contents in the hospital include:the discharge planning team evaluates the needs of patients and their family members,establishes discharge plan files,makes discharge plans based on the needs of family members and caregivers and fully implements them,trains the family members and caregivers with complete knowledge of discharge care and evaluates the effect of care training;Out-of-hospital parts include: follow-up and monitoring of the patient’s condition after leaving the hospital,regular follow-up,and assisting the patient to make an appointment for outpatient review.The patients were followed up by video telephone once a week 1 to 4 weeks after discharge,and outpatient follow-up was performed 1 month after discharge.According to the training content and follow-up results in the hospital,timely record and give guidance to the patients and their families.Epidata3.1 was used to establish the database,and SPSS24.0 was used for data analysis.Results1.The scores of discharge readiness of patients in the control group and the experimental group were(25.42±8.09)and(30.67±6.06)respectively,and the scores of discharge readiness of caregivers were(15.42±6.06)and(25.36±7.45)respectively.The scores of discharge readiness of patients and caregivers in the experimental group were higher than those in the control group.The differences between the two groups were statistically significant(P<0.05).2.The PG-SGA scores of patients in the control group and the experimental group were(8.26±1.85)and(7.29±1.56)at discharge,respectively.One month after discharge,the PG-SGA scores of patients in the two groups were:(7.98±1.82),(6.02±1.53),the PG-SGA scores of nutrition assessment in the experimental group were lower than those in the control group at discharge and one month after discharge,the differences between the two groups were statistically significant(P<0.05).3.The scores of quality of life in each dimension of esophageal cancer patients in the control group and the experimental group at the one-month follow-up visit were as follows:The scores of body function dimension were(49.61±15.00)and(57.63±14.51),the scores of role function dimension were(38.76±14.87)and(47.04±16.40),respectively.The scores of emotional function dimension were(54.46±10.96)and(63.52±13.56)respectively.The scores of the experimental group were higher than those of the control group in the above three functional dimensions.The scores of the overall health dimension of the control group and the experimental group were(53.88±16.40)and(61.85±9.14)respectively.The score of experimental group was higher than that of control group.In the symptom field,the scores of fatigue were(58.66±15.59)and(49.38±19.18),and the scores of nausea and vomiting were(27.52±18.86)and(19.26±11.76).The scores of constipation symptoms were(31.78±12.50)and(25.19±16.14),and the scores of insomnia symptoms were(35.66±23.45)and(25.93±18.65),respectively.The scores of the experimental group were lower than the control group in the above symptom dimensions.There were statistically significant differences in quality of life scores between the two groups in the above dimensions(P<0.05).Conclusion1.Discharge planning can increase discharge preparedness of patients undergoing esophageal cancer surgery and their caregivers.2.Discharge planning can improve the quality of life of patients undergoing surgery for esophageal cancer.3.Discharge planning can improve the nutritional status of patients undergoing surgery for esophageal cancer... |
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