医护一体化模式在经口入路机器人甲状腺手术全程管理中的应用

Application of the medical and nursing care integration model in the whole process management of robotic thyroid surgery via oral approach

目的探讨医护一体化模式对经口入路机器人甲状腺手术配合中的应用效果。方法采取历史对照研究方法,以湖南省某三级甲等肿瘤医院85例行经口入路机器人甲状腺手术患者为研究对象,2021年7月至2022年3月收治的43例患者为对照组,采取常规护理模式;2022年4月至11月收治的42例患者为观察组,采取医护一体化模式。比较两组单只无菌臂罩套装时间、连接机械臂的时间、平均术中调整机械臂的次数、医生对护士的满意度和患者对护士的满意度。结果观察组单只无菌臂罩的套装时间、连接机械臂的时间均短于对照组,平均术中机械臂调整的次数少于对照组,医生对护士的满意度高于对照组,患者对护士的满意度高于对照组,差异均有统计学意义(P<0.05)。结论医护一体化的经口入路机器人甲状腺患者手术全程管理,增强医护间的有效沟通,提高手术配合默契度及手术效率与效能,有利于改善患者的手术治疗结局,提升手术护理质量。

Objective To explore the application effect of the medical and nursing care integration model in the in whole process management of robotic thyroid surgery via oral approach.Methods The study was conductad as a historical controued trial,involving 85 patients who underwent active thyroid procedures via the oral route at a tertiary Grade A cancer hospital located in Hunan province.43 patients from July 2021 to March 2022 were selected as the control group,adopting the conventional nursing mode.42 patients from April 2022 to November 2022 were selected as the observation group,adopting the medical and nursing integration model.The time used to set the single sterile arm cover,the time used to connect the mechanical arm,the average number of intraoperative adjustments of the mechanical arm,the doctors′satisfaction level with the nurses and the satisfaction level of patients with the nurses were compared between the two groups.Results In the observation group,the time used to set the single sterile arm cover and the time used to connect the mechanical arm were significantly shorter than those in the control group.The average number of intraoperative adjustments of the mechanical arm in the observation group was significantly less than that in the control group,and the doctor′s satisfaction level with the nurses and the satisfaction level of patients with the nurses in the observation group were significantly higher than those in the control group(P<0.05).Conclusion Through the whole operation process management of robotic thyroid surgery via oral approach,the effective communication between doctors and nurses is enhanced,the mutual understanding of collaborative surgeries is improved,the efficiency and effectiveness of surgeries are increased.This model is conducive to the improvement of the outcome of patients′surgical treatment and surgical nursing quality.