基于4Ms理论的老年食管癌患者围术期支持性照护方案的构建与应用

目的 基于4Ms理论构建老年食管癌患者围术期支持性照护方案并评价应用效果。方法将108例拟行食管癌根治术的老年食管癌患者按入院时间分为对照组55例和试验组53例。对照组行常规围术期护理，试验组构建并实施基于4Ms理论的老年食管癌患者围术期支持性照护方案。结果试验组胸腔引流管留置时间、术后首次排气和排便时间、术后住院时间显著短于对照组（均P＜0.05）；试验组出院前生活质量总分显著高于对照组（P＜0.05）。结论基于4Ms理论的老年食管癌患者围术期支持性照护方案的应用，可促进老年患者康复并改善术后早期生活质量。

Development and implementation of perioperative supportive care for elderly patients with esophageal cancer based on 4 Ms theory

Objective To construct a perioperative supportive care protocol for older patients with esophageal cancer based on the 4Ms theory and evaluate its application effects. MethodsA total of 108 older patients with esophageal cancer scheduled for radical esophageal cancer surgery were divided into a control group (n=55) and an experimental group (n=53) based on their admission time. The control group received routine perioperative nursing care, while the experimental group received perioperative supportive care which was developed based on the 4Ms theory. ResultsThe experimental group showed significantly shorter indwell time of chest drainage system, reduced time to first flatus and bowel movement, and length of postoperative hospital stay compared with the control group (all P<0.05). The total score of quality of life before discharge in the experimental group was significantly higher than that in the control group (P<0.05). ConclusionImplementation of perioperative supportive care for elderly esophageal cancer patients based on the 4Ms theory can promote their recovery and early postoperative quality of life.