多学科协作诊疗护理在老年腹腔镜下胆总管切开取石术患者中的应用效果

Application effect of multi-disciplinary team nursing in elderly patients undergoing laparoscopic choledocholithotomy

目的 分析多学科协作诊疗(MDT)护理在老年腹腔镜下胆总管切开取石术患者中的应用效果。方法选取2020年6月至2021年12月在我院行腹腔镜下胆总管切开取石术的88例老年患者,随机将其分为观察组和对照组,各44例。观察组开展MDT护理干预,对照组开展常规护理干预。比较两组的干预效果。结果观察组的术后首次肛门排气时间、首次进食时间、肠鸣音恢复时间及首次排便时间均短于对照组,差异具有统计学意义(P<0.05)。观察组的术后并发症总发生率低于对照组,差异具有统计学意义(P<0.05)。干预后,观察组的简化舒适状况量表(GCQ)各维度评分及总分均高于对照组,差异具有统计学意义(P<0.05)。随访后,观察组的简明健康状况评价量表(SF-36)各维度评分均高于对照组,差异具有统计学意义(P<0.05)。结论 MDT护理在老年腹腔镜下胆总管切开取石术患者中的应用效果显著,可有效降低术后并发症,缩短胃肠功能恢复时间,提高护理舒适度,改善生活质量,具有临床推广价值。

Objective To analyze the application effect of multi-disciplinary team(MDT)nursing in elderly patients undergoing laparoscopic choledocholithotomy.Methods A total of 88 elderly patients who underwent laparoscopic choledocholithotomy in our hospital from June 2020 to December 2021 were selected and randomly divided into observation group and control group,with 44 cases in each group.The observation group carried out MDT nursing intervention,and the control group carried out routine nursing intervention.The intervention effects of the two groups were compared.Results The postoperative first anal exhaust time,first feeding time,bowel sound recovery time and first defecation time of the observation group were shorter than those of the control group,and the differences were statistically significant(P<0.05).The total incidence of postoperative complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).After intervention,the scores of each dimension and total score of General Comfort Questionnaire(GCQ)in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).After follow-up,the scores of each dimension of 36-Item Short Form Health Assessment Scale(SF-36)in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion The MDT nursing applied in elderly patients undergoing laparoscopic choledocholithotomy has a significant effect,which can effectively reduce postoperative complications,shorten the recovery time of gastrointestinal function,improve nursing comfort and the quality of life,it has clinical promotion value.