Application of shared decision-making and enhanced recovery after surgery nursing in patients undergoing radical gastrectomy
10.3760/cma.j.cn115682-20240524-02925
- VernacularTitle:医护患共同决策下加速康复外科护理在胃癌根治术患者中的应用
- Author:
Lulu GAO
1
;
Wenjing FAN
1
;
Yuanyuan FENG
1
;
Fang LIU
1
Author Information
1. 郑州大学第一附属医院胃肠外科，郑州 450000
- Publication Type:Journal Article
- Keywords:
Stomach neoplasms;
Radical gastrectomy;
Doctor-nurse-patient shared decision-making;
Enhanced recovery after surgery;
Self-management behavior;
Decision-ma
- From:
Chinese Journal of Modern Nursing
2025;31(7):960-964
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the effects of doctor-nurse-patient shared decision-making (SDM) and enhanced recovery after surgery (ERAS) nursing in patients undergoing radical gastrectomy for gastric cancer.Methods:A total of 186 patients who underwent radical gastrectomy for gastric cancer at the First Affiliated Hospital of Zhengzhou University from December 2022 to January 2024 were selected using convenience sampling and randomly divided into a control group and an observation group, with 93 patients in each group. The control group received routine ERAS nursing, while the observation group received SDM-based ERAS nursing intervention. Postoperative gastrointestinal function recovery, Self-Management Behavior Scale (SMBS), Shared Decision-Making Questionnaire (SDM-Q-9), Satisfaction with Medical Decision-Making Scale, and Decision Conflict Scale (DCS) scores were compared between the two groups.Results:The observation group had significantly shorter time for first flatus, first defecation, first ambulation, drainage tube removal, and hospitalization compared to the control group ( P<0.05). At 30 days postoperatively, SMBS scores in all dimensions were significantly higher in the observation group than in the control group ( P<0.05). SDM-Q-9 and decision-making satisfaction scores were higher, and DCS scores were lower in the observation group compared to the control group, with statistically significant differences ( P<0.05) . Conclusions:Doctor-nurse-patient SDM-based ERAS nursing promotes postoperative gastrointestinal function recovery in patients undergoing radical gastrectomy, enhances self-management ability, increases shared decision-making participation, and reduces decision-making conflict, demonstrating significant clinical value.
