【摘要】 目的 探讨多学科团队协作(MDT)模式在促进前列腺癌术后患者快速康复中的效果。方法 72例行前列腺癌手术的患者,采用奇偶数列法分为实验组与对照组,各36例。实验组在围术期护理中采用MDT模式,对照组在围术期护理中采用传统模式。比较两组术后各项指标恢复时间、并发症发生情况、术后生活质量评分。结果 实验组术后肛门排气时间(13.52±4.45)h、首次下床活动时间(8.27±3.45)h、引流管拔出时间(5.21±2.64)d、住院时间(6.54±1.17)d均短于对照组的(41.69±5.34)h、(36.27±6.48)h、(8.61±3.52)d、(12.67±3.59)d,差异有统计学意义(P<0.05)。实验组术后并发症发生率为13.89%,低于对照组的36.11%,差异有统计学意义(P<0.05)。实验组术后角色功能评分(66.32±4.15)分、社会功能评分(67.82±4.16)分、认知功能评分(74.14±5.06)分、情感功能评分(68.79±6.25)分、生理功能评分(66.28±6.43)分均高于对照组的(61.29±5.46)、(62.03±4.48)、(67.18±5.29)、(63.51±6.83)、(60.32±6.87)分,差异有统计学意义(P<0.05)。结论 前列腺癌患者围术期应用MDT模式,有助于促进快速康复,值得全方位推广。更多还原

【Abstract】 Objective To discuss the effect of multidisciplinary team(MDT) model in promoting rapid recovery of postoperative patients with prostate cancer. Methods A total of 72 patients undergoing prostate cancer surgery were divided into the experimental group and the control group according to the odd-even column method,with 36 cases in each group. The experimental group adopted MDT model in perioperative nursing, and the control group adopted conventional model in perioperative nursing. The postoperative recovery time, complications and postoperative quality of life score were compared between the two groups. Results The postoperative anal exhaust time(13.52±4.45) h, off-bed activity time(8.27±3.45) h, drainage tube extraction time(5.21±2.64) d,and hospitalization time(6.54±1.17) d in the experimental group were shorter than(41.69±5.34) h,(36.27±6.48) h,(8.61±3.52) d, and(12.67±3.59) d in the control group, and the differences were statistically significant(P<0.05). The incidence of postoperative complications in the experimental group was 13.89%, which was lower than 36.11% in the control group, and the difference was statistically significant(P<0.05). After surgery, the role function score(66.32±4.15) points, social function score(67.82±4.16) points, cognitive function score(74.14±5.06) points, emotional function score(68.79±6.25) points and physiological function score(66.28±6.43) points in the experimental group were higher than(61.29±5.46),(62.03±4.48),(67.18±5.29),(63.51±6.83), and(60.32±6.87) points in the control group, and the differences were all statistically significant(P<0.05). Conclusion The application of MDT model in surgical nursing of patients with prostate cancer is helpful to promote rapid recovery and is worthy of all-round promotion.更多还原