Department of Hepatobiliary Surgery, Wuhan No. 1 Hospital, China.
Intensive Care Unit, Wuhan Wuchang Hospital, Wuchang Hospital Affiliated to Wuhan University of Science and Technology, China.
Comput Math Methods Med. 2022 Jun 13;2022:8696084. doi: 10.1155/2022/8696084. eCollection 2022.
To explore the effect of MDT (multidisciplinary team) collaborative nursing combined with hierarchical nursing management mode on the quality of life and comfort of patients with gallbladder stones combined with acute cholecystitis after surgery.
A total of 120 patients with gallbladder stones and acute cholecystitis who were treated in our hospital from March 2019 to March 2021 were selected as prospective research objects. According to the order of care, they were divided into control group and observation group with 60 cases each. Among them, the control group implements a hierarchical nursing management model, and the observation group implements MDT collaborative nursing based on this and compares the impact of the two groups on patient's quality of life scores, daily self-care ability, nursing satisfaction, and comfort after nursing.
Before nursing, the comparison of the quality of life score, nursing comfort, and nursing ability of the two groups of patients was not statistically significant ( > 0.05). After nursing, the mental vitality score, social interaction score, emotional restriction score, and mental status of the observation group were significantly higher than those of the control group. Statistics showed that the difference was statistically significant ( < 0.05). After nursing, the scores of social comfort, physical comfort, and psychological comfort of the observation group were significantly higher than those of the control group, and statistics showed that the difference was statistically significant ( < 0.05). The health knowledge level, self-care skills, self-care responsibility, and self-concept of the observation group after nursing were higher than those of the control group, while the score of depression and mood disorder was significantly lower than that of the control group. Statistics showed that this difference was statistically significant ( < 0.05). After nursing, patients in the observation group had higher operating technique scores, service attitude scores, health education scores, psychological intervention scores, and nursing quality scores than those of the control group. Statistics showed that the difference was statistically significant ( < 0.05).
MDT collaborative nursing combined with hierarchical nursing management mode can effectively improve the self-care ability of patients with gallbladder stones complicated with acute cholecystitis, effectively improve the quality of life of patients, and improve the satisfaction and comfort of patients with nursing care. The postnursing care of patients after inflammation has a certain reference value.
探讨多学科团队协作护理联合层级护理管理模式对胆囊结石合并急性胆囊炎术后患者生活质量和舒适度的影响。
选取 2019 年 3 月至 2021 年 3 月我院收治的 120 例胆囊结石合并急性胆囊炎患者作为前瞻性研究对象，按照护理先后顺序分为对照组和观察组各 60 例。其中对照组实施层级护理管理模式，观察组在此基础上实施 MDT 协作护理，并比较两组对患者生活质量评分、日常自理能力、护理满意度、护理后舒适度的影响。
护理前，两组患者生活质量评分、护理舒适度、护理能力比较，差异均无统计学意义（>0.05）。护理后，观察组精神活力评分、社会交往评分、情绪限制评分、精神状态评分均明显高于对照组，差异均有统计学意义（<0.05）。护理后，观察组社会舒适度评分、躯体舒适度评分、心理舒适度评分均明显高于对照组，差异均有统计学意义（<0.05）。观察组护理后健康知识水平、自理技能、自理责任感、自我概念评分均高于对照组，而抑郁情绪、心境障碍评分明显低于对照组，差异均有统计学意义（<0.05）。护理后观察组操作技术评分、服务态度评分、健康教育评分、心理干预评分、护理质量评分均高于对照组，差异均有统计学意义（<0.05）。
MDT 协作护理联合层级护理管理模式可有效提高胆囊结石合并急性胆囊炎患者的自理能力，有效改善患者生活质量，提高患者对护理服务的满意度和舒适度，对炎症后患者的护理具有一定的参考价值。
