医护一体模式防控椎管内肿瘤患者术后并发症的效果

Efficacy of doctor-nurse integration for prevention and control of postoperative complications in patients with intraspinal tumors

目的探讨医护一体模式对椎管内肿瘤患者术后并发症防控的效果。方法选取2013年3月至2019年4月间中国医学科学院北京协和医学院肿瘤医院收治的140例椎管内肿瘤患者,采用医护一体模式在患者围术期进行术后并发症防控,措施包括医护联合进行术前评估,针对性进行术前准备,制定并发症防控预案;术后医护联合查房,加强沟通,医护联合进行健康教育,密切病情观察,统计椎管内肿瘤患者的术后并发症发生情况。结果椎管内肿瘤患者出现术后并发症14例(10.0%),其中,尿路感染5例,切口感染4例,颅内感染3例,肺部感染1例,下肢深静脉血栓1例,经对症处理均治愈。结论采用医护一体模式对椎管内肿瘤患者术后并发症进行防控,防控效果较好,并发症发生较少,值得临床推广。

Objective To explore the efficacy of doctor-nurse integration for prevention and control of postoperative complications in patients with intraspinal tumors. Methods A total of 140 patients with intraspinal tumors admitted to Cancer Hospital,Chinese Academy of Medical Sciences Peking Union Medical College from March 2013 to April 2019 were selected. Preoperative doctor-nurse integration was performed for prevention and control of postoperative complications including doctor-nurse integration-based preoperative assessment,targeted preoperative preparation,making a plan for prevention and control of postoperative complications,doctor-nurse integration joint rounds,enhancing communication,doctor-nurse joint health education,close observation,detection and treatment of complications. Result Postoperative complications occurred in 14 patients( 10. 0%) including 5 patients with urinary tract infection,4 with incision infection,3 with intracranial infection,1 with pulmonary infection and 1 with deep venous thrombosis of lower limbs.All the patients were cured after symptomatic treatment. Conclusion The doctor-nurse integration is effective for prevention and control of postoperative complications in patients with intraspinal tumors with less complications,and it is worthy of promotion.