医护一体化管理模式联合快速康复外科理念在颅内动脉瘤开颅夹闭术的应用效果

Efficacy of medical management mode of doctor-nurse cooperation combined with the concept of fast tract surgery in craniotomy and clipping of intracranial aneurysms

目的探讨医护一体化管理模式联合快速康复外科理念在颅内动脉瘤开颅夹闭术中的应用效果。方法选取2017年6月至2019年6月间上海复旦大学附属华山医院收治的106例择期行开颅夹闭手术的颅内动脉瘤患者作为研究对象。围手术期给予常规护理的53例患者纳入对照组,采用医护一体化管理模式联合快速康复外科理念护理的53例患者纳入观察组,比较两组患者术后恢复指标、并发症发生情况及护理满意度。结果观察组住院时间短于对照组,差异有统计学意义(P<0.05),两组患者格拉斯哥评分比较,差异无统计学意义(P>0.05)。观察组下肢深静脉血栓发生率低于对照组,差异有统计学意义(P<0.05);两组患者神经系统感染、肺部感染等并发症发生情况比较,差异无统计学意义(P>0.05)。观察组护理满意度为94.2%,高于对照组的81.1%,差异有统计学意义(P<0.05)。结论医护一体化管理模式联合快速康复外科理念可促进颅内动脉瘤开颅夹闭术患者术后康复,降低并发症发生率,提高护理质量。

Objective To explore the efficacy of medical management mode of doctor-nurse cooperation combined with the concept of fast tract surgery in craniotomy and clipping of intracranial aneurysms.Methods A total of 106 patients with intracranial aneurysms who underwent elective craniotomy and clipping and admitted to Huashan Hospital Affiliated to Fudan University between June 2017 and June 2019 were selected as the subjects.Fifty-three patients given services guided by medical management mode of doctor-nurse cooperation combined with the concept of fast tract surgery were included in an observation group and 53 patients given conventional nursing were included in a control group.The postoperative recovery indices,incidence of complications and patient satisfaction with nursing were compared between the two groups.Results The length of hospital stay was shorter in the observation group than in the control group(P<0.05).There was no significant difference in Glasgow coma scale score between the two groups(P>0.05).The incidence of lower extremity deep venous thrombosis was lower in the observation group than in the control group(P<0.05).No significant difference in the incidence of complications such as nervous system infection and lung infection was noticed between the two groups(P>0.05).The patient satisfaction with nursing was 94.2%in the observation group which was higher than 81.1%of the control group(P<0.05).Conclusion The services guided by medical management mode of doctor-nurse cooperation combined with the concept of fast tract surgery can promote postoperative rehabilitation,reduce the incidence of complications and improve the nursing quality in patients undergoing craniotomy and clipping of intracranial aneurysms.