Journal of Modern Nursing Medicine
Journal of Modern Nursing Medicine. 2025; 4: (12) ; 10.12208/j.jmnm.20250625 .
总浏览量: 39
江西省肿瘤医院 江西南昌
*通讯作者: 刘婷,单位:江西省肿瘤医院 江西南昌;
目的 探讨多学科协作模式在促进骨肿瘤术后患者快速康复中的应用效果,总结有效的护理策略。方法 于2024年1月至2025年1月,选取我院收治的100例骨肿瘤术后患者作为研究对象,随机分为对照组和实验组,每组50例。对照组采用常规术后护理模式;实验组实施多学科协作模式。结果 实验组患者术后首次下床活动时间为(3.2±0.8)d,显著短于对照组的(5.1±1.2)d(t=8.92,P<0.001);住院时间为(12.5±2.3)d,明显短于对照组的(18.3±3.1)d(t=11.25,P<0.001);并发症发生率为8%,低于对照组的24%(χ²=7.68,P=0.006);患者满意度达到96%,高于对照组的78%(χ²=8.91,P=0.003)。结论 多学科协作模式能够显著促进骨肿瘤术后患者的快速康复,缩短下床活动时间和住院时长,降低并发症发生率,提高患者满意度。该模式整合多学科专业优势,为患者提供全面、个性化的护理服务,值得在临床中广泛推广应用。
Objective To explore the application effect of the multidisciplinary collaboration model in promoting the fast-track rehabilitation of postoperative bone tumor patients and summarize effective nursing strategies. Methods From January 2024 to January 2025,100 postoperative bone tumor patients admitted to our hospital were selected as the research subjects and randomly divided into a control group and an experimental group, with 50 patients in each group. The control group received the conventional postoperative nursing model, while the experimental group implemented the multidisciplinary collaboration model. Results The time to the first ambulation after surgery in the experimental group was(3.2±0.8)days, which was significantly shorter than that of the control group(5.1±1.2)days, (t=8.92,P<0.001).The length of hospital stay was(12.5±2.3)days, significantly shorter than that of the control group(18.3±3.1)days, (t=11.25,P<0.001).The incidence of complications was 8%, lower than 24%in the control group (χ2=7.68, P=0.006). The patient satisfaction rate reached 96%, higher than 78%in the control group (χ2=8.91, P=0.003). Conclusion The multidisciplinary collaboration model can significantly promote the fast-track rehabilitation of postoperative bone tumor patients, shorten the time to ambulation and the length of hospital stay, reduce the incidence of complications, and improve patient satisfaction. This model integrates the professional advantages of multiple disciplines to provide comprehensive and personalized nursing services for patients, and it is worthy of extensive clinical promotion and application.
[1] 李爱华.术后快速康复秘诀:胃肠道肿瘤术后科学护理[A]2025年“《健康大湾区》-科普引领健康”论坛暨第1期健康科普作品征集活动作品集[C].广东省肿瘤康复学会,广东省肿瘤康复学会,2025:3.
[2] 兰晓炜,林燕,谢娟.快速康复外科护理在口腔颌面部肿瘤术后游离皮瓣移植修复患者中的应用[J].中国医疗美容,2024,14(10):68-71.
[3] 莫丽娟,郑瑞芳,梁春燕,黄婷,陈渝萌.快速康复外科理念对预防妇科肿瘤术后下肢深静脉血栓形成的研究[J].实用妇科内分泌电子杂志,2024,11(12):88-90.
[4] 王慧华,胡筱艳,曾克非,邓珊珊,何送萍.快速康复外科护理模式在妇科恶性肿瘤术后预防下肢深静脉血栓中的作用[J].护理实践与研究,2022,19(23):3571-3575.
[5] 赵楠,于彬彬.肠内外营养支持在胃肠肿瘤术后快速康复中的作用[J].中国药物滥用防治杂志,2022,28(11):1588-1591.
[6] 周秩武,张汯.单药莱菔子在胃肠肿瘤术后快速康复中的应用效果[J].中国当代医药,2022,29(30):64-66.
[7] 付鑫媛.快速康复护理对妇科肿瘤术后下肢深静脉血栓形成的影响[J].当代护士(下旬刊),2022,29(06):68-71.
[8] 康文哲,李洋,马福海,田桢,左文焕,李泉旺,胡凯文,田艳涛.腹部肿瘤术后快速康复中的中医元素[J].中国医药, 2021,16(10):1448-1450.