多学科团队协作的个案管理对甲状腺相关眼病手术患者的影响

Effect of case management based on multidisciplinary collaboration on surgical patients with thyroid associated ophthalmopathy

目的探讨基于多学科团队协作的个案管理在甲状腺相关眼病手术患者中的应用效果。方法将99例甲状腺相关眼病手术患者按照入院时间分为对照组50例,观察组49例.对照组实施传统诊疗和护理;观察组实施基于多学科团队协作的个案管理。比较两组患者生活质量、焦虑抑郁评分、住院时间和护理满意度。结果干预后观察组患者焦虑评分、住院时间显著低于或短于对照组,生活质量、对护理工作满意度得分显著高于对照组(P<0.05,P<0.01)。结论实施基于多学科团队协作的个案管理可改善甲状腺相关眼病患者生活质量,缓解其焦虑情绪,减少住院时间,提高患者护理满意度。

Objective To explore the effects of case management based on multidisciplinary collaboration on quality of life of surgical patients with thyroid associated ophthalmopathy.Methods Totally,99 surgical patients with thyroid associated ophthalmopathy were divided into a control group(n=50)and an intervention group(n=49)according to the hospitalization periods.The control group was given traditional treatment and care,while the intervention group was given case management based on multidisciplinary collaboration.The quality of life,SAS and SDS score,hospital stays and satisfaction with nursing service were compared between the two groups.Results SAS and SDS score,and hospital stays in intervention group were significantly lower and shorter than in control group,while quality of life and satisfaction with nursing service in the former group were significantly higher than latter group(P<0.05,P<0.01).Conclusion Case management based on multidisciplinary collaboration can improve quality of life of surgical patients with thyroid associated ophthalmopathy,relieve anxiety and depression,reduce hospital stays and improve patient satisfaction with nursing service.