Perioperative multidisciplinary nursing model for endoscopic gastric submucosal dissection development and effect...

Area of Science:

• Gastroenterology
• Surgical Oncology
• Nursing Research

Background:

• Endoscopic submucosal dissection (ESD) is a standard treatment for early gastric cancer (EGC), but complications can prolong recovery.
• Conventional nursing models may not adequately address the comprehensive needs of EGC patients post-ESD.
• Multidisciplinary team (MDT) approaches show promise in improving oncology patient care.

Purpose of the Study:

• To evaluate the effectiveness of a perioperative MDT nursing model for EGC patients undergoing ESD.
• To compare patient recovery and satisfaction between MDT nursing and conventional nursing.

Main Methods:

• A prospective study comparing 99 EGC patients receiving MDT nursing (observation group) with 99 patients receiving conventional nursing (control group) after ESD.
• Key outcome measures included bowel sound recovery time, time to first activity, hospital stay length, and patient satisfaction.

Main Results:

• The MDT nursing group showed significantly faster bowel sound recovery (12.53 ± 1.21 hours) and earlier first activity (23.53 ± 2.34 hours).
• Hospital stay was shorter (6.63 ± 0.46 days) with a lower complication rate (3.03%) in the MDT group.
• Patient satisfaction was significantly higher (100%) in the MDT group compared to the control group (80.81%).

Conclusions:

• A perioperative MDT nursing model significantly enhances recovery and treatment outcomes for EGC patients post-ESD.
• The MDT approach leads to increased patient satisfaction and is recommended for clinical implementation.