术后多学科护理模型用于内镜胃下粘膜剖析的发展和效果评估
Yu-Ping Qian1, Hui Cai1, Shu-Yin Tang2
1Digestive Endoscopy Center, Jiangnan University Affiliated Hospital, Wuxi 214062, Jiangsu Province, China.
World journal of gastrointestinal surgery
|March 11, 2026
概括
一个多学科团队 (MDT) 护理模型显著改善了早期胃癌 (EGC) 患者接受内镜下粘膜切割 (ESD) 的康复. 这种方法提高了患者的结果和满意度,使其对临床应用有价值.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
- 护理研究 护理研究
背景情况:
- 内镜下粘膜切割 (ESD) 是早期胃癌 (EGC) 的标准治疗方法,但并发症可能会延长恢复.
- 传统的护理模式可能无法充分满足EGC患者在ESD后的综合需求.
- 多学科团队 (MDT) 方法在改善瘤患者护理方面表现有前途.
研究的目的:
- 评估外科手术期间的MDT护理模型对经历ESD的EGC患者的有效性.
- 为了比较MDT护理和传统护理之间的患者康复和满意度.
主要方法:
- 一项前性研究,将99名接受MDT护理的EGC患者 (观察组) 与99名在ESD后接受常规护理的患者 (对照组) 进行比较.
- 关键的结果指标包括肠道声音恢复时间,第一次活动的时间,住院时间和患者满意度.
主要成果:
- 在MDT护理组显示显著更快的肠道声音恢复 (12.53±1.21小时) 和早期的第一次活动 (23.53±2.34小时).
- 住院时间较短 (6.63±0.46天),并发症率较低 (3.03%).
- 与对照组相比,MDT组的患者满意度显著更高 (100%) (80.81%).
结论:
- 一个外科手术期间的MDT护理模型显著提高了EGC患者在ESD后的康复和治疗结果.
- MDT方法导致患者满意度增加,并推用于临床实施.
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