MDT协作护理在急性胆囊炎手术患者中效果研究.docVIP

MDT协作护理在急性胆囊炎手术患者中效果研究 　　[摘要]目的 探讨MDT协作护理在急性胆囊炎手术患者中的效果。方法 将我院2015年7月～2016年7月收治的71例急性胆囊炎患者根据随机综合序贯法分组，围术期对照组（n=35）患者采用常规护理，观察组（n=36）患者予以MDT协作护理。比较两组患者的治疗效果、临床相关指标、护理满意度。结果 观察组的总有效率为94.4%，明显高于对照组的71.4%，差异有统计学意义（P0.05）；观察组伤口愈合时间、住院时间均明显短于对照组，换药次数少于对照组，差异有统计学意义（P0.05）；观察组的护理满意度为97.2%，明显高于对照组的80.0%，差异有统计学意义（P0.05）。结论 MDT协作护理在急性胆囊炎手术患者中的效果突出，在增强治疗效果的同时，具有住院时间及伤口愈合时间短、换药次数少等优势，深受患者满意认可，值得临床推广。 　　[关键词]MDT协作护理；急性胆囊炎；手术 　　[中图分类号] R575.6+1 [文?I标识码] A [文章编号] 1674-4721（2017）11（b）-0189-03 　　[Abstract]Objective To investigate the effect of MDT collaborative care in patients with acute cholecystitis operation.Methods 71 patients with acute cholecystitis treated in our hospital from July 2015 to July 2016 were grouped according to the random comprehensive sequential method.During the perioperative period，patients in the control group （n=35） were given the routine nursing，while patients in the observation group （n=36） were given MDT collaborative care.The treatment effect，clinical correlation indexes and nursing satisfaction degree were compared between the two groups.Results The total effective rate of the observation group was 94.4%，and it was significantly higher than that of the control group （71.4%），and the difference was statistically significant （P0.05）.The wound healing time and hospitalization time in the observation group were significantly shorter than those of the control group，the frequency of dressing change was fewer than that of the control group，the difference was statistically significant （P0.05）.Nursing satisfaction degree of the observation group was 97.2% 80%，and it was significantly higher than that of the control group，the difference was statistically significant （P0.05）.Conclusion The effect of MDT collaborative care applied in acute patients with cholecystitis is prominent，and can enhance the treatment effect at the same time，and has a characteristics of shorter hospitalization time and wound healing time，fewer dressing change times and so on，and it is