Related Experiment Videos
Impact of Multidisciplinary Doctor-Nurse-Therapist Rounds on Perioperative Outcomes in Cervical Spondylotic
Jinfeng Hu1, Jin Tang2, Wei Xie2
1Department of Orthopedics, Wuhan University Renmin Hospital, Wuhan, Hubei, 430060, People's Republic of China.
Objective:
This retrospective study aims to compare the efficacy of doctor-nurse therapist integrated rounds versus traditional rounds during the perioperative period of cervical spondylotic myelopathy (CSM).
Methods:
A total of 95 patients with CSM, treated between April 2018 and April 2021, were divided into a test group and a control group. The study compared preoperative and postoperative cervical Japanese Orthopaedic Association (JOA) scores, Neck Disability Index (NDI) scores, postoperative complications, and satisfaction levels among doctors, nurses, therapists, and patients.
Results:
There were no significant differences in JOA and NDI scores between the two groups (P>0.05). A statistically significant difference in JOA and NDI scores was observed pre- and post-surgery (P<0.05). The test group exhibited a lower incidence of postoperative complications compared to the control group (P<0.05). Additionally, satisfaction levels among healthcare professionals, including doctors, nurses, and therapists, were higher in the test group than in the control group (P<0.05). Notably, patient satisfaction was significantly greater in the test group compared to the control group (P<0.01).
Conclusion:
Integrated roundsIntegrated doctor-nurse-therapist rounds significantly reduce postoperative complications and improve satisfaction among healthcare providers and patients in CSM surgery, but they do not lead to superior functional recovery (JOA/NDI). This model is recommended for improving perioperative safety and patient-provider experience.