Application effect of shared decision model intervention in emergency laparoscopic gastrectomy patients
Objective To investigate the effect of shared decision model intervention in emergency laparoscopic gas-trectomy(LG)patients.Method A total of 92 patients with gastric cancer treated by LG in emergency were divided into control group(40 cases)and observation group(52 cases)according to different intervention methods.The control group received emergency routine intervention,and the observation group received shared decision model intervention.Physio-logical indicators[pulse rate(PR),diastolic blood pressure(DBP),systolic blood pressure(SBP)],satisfaction score of participation in decision making and the incidence of complications were compared between the two groups.Result Af-ter intervention,the PR,DBP and SBP in two groups were lower than those before intervention,and the PR,DBP and SBP in observation group were lower than those in control group,the differences were statistically significant(P＜0.05).The triage evaluation time,electrocardiogram examination time,blood collection time,venous channel establishment time and time from admission to operation time in observation group were significantly shorter than those in control group,the differences were statistically significant(P＜0.01).The scores of decision-making,negotiation and communica-tion,total satisfaction and confidence,information in observation group were higher than those in control group,and the differences were statistically significant(P＜0.05).There was no significant difference in the total incidence of postopera-tive complications between the two groups(P＞0.05).Conclusion The shared decision model intervention has a certain significance to improve the physiological indicators of LG patients in emergency,shorten the emergency time,and im-prove patient satisfaction.
shared decision model interventionemergencylaparoscopic gastrectomy
万方数据
维普
