The application of doctor-nurse integrated health care management model in transvaginal natural ;orifice transluminal endoscopic surgery
10.3760/cma.j.issn.1672-7088.2017.03.003
- VernacularTitle:医护一体化护理模式在经阴道自然腔道内镜手术中的应用
- Author:
Lili LI
;
Meiying MENG
;
Lanying LIU
;
Guixiang ZHU
;
Longqing LIU
;
Zhen CHEN
;
Feng CHEN
;
Qizhao LING
;
Guoxi ZHANG
;
Xiaofeng ZOU
- Keywords:
Nursing care;
Natural orifice transluminal endoscopic surgery;
Transvaginal access;
Integrated health care nursing mode
- From:
Chinese Journal of Practical Nursing
2017;33(3):169-173
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the doctor-nurse integrated health care management model in perioperative nursing management of transvaginal natural orifice transluminal endoscopic surgery (NOTES). Methods A total of 70 female patients underwent transvaginal NOTES. All patients were randomly divided into the control and the study groups. The control group adopted the traditional model of care, and the study group implemented a layered panel system of integrated health care nursing mode, which consisted of three lines (leader), second line, front-line doctors, anesthesiologists consisting of the doctor series and secondary responsibility leader, a responsibility of nurses, operating room nurses laparoscopy group traveling together constituted a series of nurses′ health care integration of the health care team. The average length of stay, preoperative waiting days, awareness of the disease, early postoperative activities and reasonable diet, patient satisfaction with care, doctors′ satisfaction with nurses′ operation and overall satisfaction with health care work were compared. Results The preoperative waiting days, average length of stay, surgical satisfaction, patients′ satisfaction, doctors-nurses′overall satisfaction in the study group were (3.95±0.51) d, (11.58±1.83) d, (95.48±3.82)%, (99.26± 0.61)%, (96.33±0.29)%, the control group were (5.50±0.68) d, (15.79±2.14) d, (82.08±7.21)%, (92.18± 3.54)%, (80.03 ± 5.88)%, the differences were statistically significant (t=-4.431-6.172, P < 0.05). The patients awareness of the disease, early postoperative activities and reasonable diet (postoperative eating time) in the study group were (92.77 ± 0.59)%, (1.60 ± 0.63) d, (2.20 ± 0.54) d, the control group were (93.15 ± 0.47)%, (1.90 ± 0.42) d, (2.40 ± 0.33) d, the difference was not statistically significant (t=-0.898,-0.771,-0.201, P>0.05). Conclusions The implementation ofdoctor-nurse integrated health carenew model can optimize the collocation of medical health care integration, enhance the quality of care, improve patient experience, and improve patients′and doctors′satisfaction for nursing work.
