International Journal of Nursing Research
International Journal of Nursing Research. 2026; 8: (2) ; 10.12208/j.ijnr.20260065 .
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华中科技大学同济医学院附属同济医院肝胆胰外科 湖北武汉
*通讯作者: 王美芬,单位:华中科技大学同济医学院附属同济医院肝胆胰外科 湖北武汉;
肝胆胰肿瘤因病情复杂、治疗难度高、并发症风险大,成为临床护理的重点与难点。多学科协作(MDT)模式以患者为核心,整合医疗、护理、营养、心理、康复等多学科资源,实现诊疗护理的全程化、个性化与精准化,为肝胆胰肿瘤患者提供全面优质的健康服务。本文系统梳理MDT模式在肝胆胰肿瘤护理中的内涵与运作机制、临床应用现状、实施效果,深入分析当前实践中存在的问题,并提出针对性优化对策,同时展望未来发展趋势,旨在为MDT模式在肝胆胰肿瘤护理领域的规范化推广与高质量发展提供参考。
Liver, gallbladder and pancreatic tumors have become the focus and difficulty in clinical nursing due to their complex conditions, high treatment difficulty and high risk of complications. The multi-disciplinary collaboration (MDT) model centers on patients, integrating resources from multiple disciplines such as medical care, nursing, nutrition, psychology, and rehabilitation to achieve full-process, personalized, and precise diagnosis, treatment, and nursing, providing comprehensive and high-quality health services for patients with liver, gallbladder, and pancreatic tumors. This article systematically sorts out the connotation and operation mechanism, clinical application status and implementation effect of the MDT model in the nursing of liver, gallbladder and pancreatic tumors, deeply analyzes the existing problems in current practice, and proposes targeted optimization countermeasures. At the same time, it looks forward to the future development trend, aiming to provide a reference for the standardized promotion and high-quality development of the MDT model in the field of liver, gallbladder and pancreatic tumor nursing.
[1] 宋政炜,陈敏捷,陈飞,等.法尼酯X受体在肝胆胰恶性肿瘤中的研究进展[J].中华肿瘤防治杂志,2021,28(5):396-400.
[2] 丹增阿旺,王超,杨振华,等.MDT协作下ERAS临床路径在肝切除围手术期中的应用[J].中华肝脏外科手术学电子杂志,2025,14(05):732-739.
[3] 屠冬英,杨丽红,王玲,等.多学科团队协作模式下的延续护理对急性胰腺炎病人健康行为能力和生活质量的影响[J].护理研究,2022,36(2):317-321.
[4] 丹增阿旺,王超,杨振华,等.MDT协作下ERAS临床路径在肝切除围手术期中的应用[J].中华肝脏外科手术学电子杂志,2025,14(05):732-739.
[5] 马蕾."多因素-护理干预模式"对肝硬化合并上消化道出血患者的临床护理价值[J].2024(5):187-189.
[6] 杨春兰,付东冬,刘梦.多学科协作团队模式指导下的心理干预结合延续性康复护理在急性胰腺炎患者中的应用[J].中西医结合护理(中英文),2024,10(8):109-111.
[7] 朱利思,陈军华,胡辉,等.多学科协作团队工作坊教学模式应用于护士伤口护理培训的效果[J].解放军护理杂志,2019,36(9):85-88.
[8] 汪洁,裴丽燕,芦亚男,等.基于证据临床应用的多学科协作加速康复外科模式在肝切除患者护理中的应用[J].中华现代护理杂志,2021,27(14):1883-1888.
[9] 李钦慧,王钧慷,罗树春,等.基于过程控制优化综合医院多学科诊疗模式研究[J].中国卫生事业管理,2023,40(6): 418-421.
[10] 容洁,余雄丽.多学科协作营养干预联合赋能激励护理对胰腺癌手术患者希望水平、免疫功能及生命质量的影响[J].当代护士,2023,30(14):70-74.