Application effect of multidisciplinary teamwork model in patients with minimally invasive partial nephrectomy
10.3760/cma.j.cn115682-20210117-00242
- VernacularTitle:多学科团队协作模式在微创肾部分切除患者中的应用效果
- Author:
Weihong WANG
1
;
Li ZOU
;
Qiaoping WANG
;
Qinqin LU
;
Huiping ZHOU
;
Haofen XIE
;
Zejun YAN
Author Information
1. 浙江省宁波市第一医院泌尿外科 315010
- Keywords:
Perioperative care;
Partial nephrectomy;
Multidisciplinary teamwork;
Accelerated recovery
- From:
Chinese Journal of Modern Nursing
2021;27(30):4119-4123
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the application effect of multidisciplinary teamwork mode in patients with laparoscopic partial nephrectomy of renal carcinoma.Methods:A total of 86 patients with renal cancer who received laparoscopic partial nephrectomy in Ningbo First Hospital of Zhejiang Province from February to December 2019 were selected by the convenient sampling method. According to admission time, the patients were divided into the control group and the observation group, with 43 cases in each group. The control group implemented urological nursing routines and various measures recommended in the accelerated rehabilitation surgery guidelines, while the observation group adopted a multidisciplinary team collaboration model based on evidence-based nursing on the basis of the control group. The Kolcaba General Comfort Questionnaire (GCQ) and Numerical Pain Rating Scale (NPRS) were used to evaluate the comfort and low back pain of the two groups at 1, 3, and 5 days after surgery. Hamilton Anxiety Scale was used to evaluate anxiety of patients in both groups 5 days after surgery, and postoperative rehabilitation indicators (postoperative supine position time, absolute bed time, anal exhaust time, drainage tube indwelling time, postoperative hospital stay) were collected in both groups.Results:The total score of GCQ of observation group was higher than that of control group on 1, 3, and 5 days after operation, and lower back pain score was lower than that of control group. The postoperative anxiety score, postoperative supine position time, absolute bed time, anal exhaust time, drainage tube indwelling time and postoperative hospitalization days in the observation group were lower than those in the control group. There were statistically significant differences between the two groups ( P< 0.05) . There was no postoperative bleeding or deep venous thrombosis (DVT) in the lower limbs of patients of the two groups. Conclusions:The multidisciplinary teamwork model can alleviate the postoperative anxiety of patients with partial nephrectomy, improve their overall comfort, shorten the postoperative hospital stay and promote postoperative recovery.
