Observation on the Application of Enhanced Rehabilitation After Surgery Model Under Multidisciplinary Teamwork in the Perioperative Period of Patients Undergoing Laparoscopic Uterine Myomectomy
Objective:To investigate the effect of enhanced rehabilitation after surgery under multidisciplinary teamwork(ERAS-MDT)model in the perioperative period of patients who underwent laparoscopic uterine myomectomy,and to provide a basis for clinical care.Methods:104 cases of laparoscopic uterine fibroid removal patients admitted to the hospital from August 2019 to July 2021 were selected as the study subjects,which were divided into the control group and the observation group according to the sequence of admission time,with 52 cases in each group.The control group implemented conventional perioperative nursing intervention,and the observation group implemented ERAS-MDT model intervention based on the control group.Postoperative recovery indexes(intraoperative bleeding,anal exhaustion time,postoperative feeding time,hospitalization time),systolic blood pressure(SBP),heart rate(HR),complication rate,quality of life[Brief Health Status Scale(SF-36)scores]and nursing care satisfaction were compared between the two groups.Results:The postoperative anal defecation time,postoperative feeding time,and hospitalization time of the observation group were significantly shorter than those of the control group,and the differences were statistically significant(t=3.223,2.240,4.915,P＜0.05).At 5 min after anesthesia,SBP and HR of the observation group were significantly higher than those of the control group,and the differences were statistically significant(t=2.569,3.834,P＜0.05).The incidence of postoperative complications in the observation group was significantly lower than that in the control group,and the difference was statistically significant(χ2=5.283,P＜0.05).After the intervention,the scores of the dimensions in the SF-36 scale of the observation group were significantly higher than those of the control group,and the difference was statistically significant(t= 3.130,2.424,5.471,3.407,P＜0.05).The postoperative nursing satisfaction of the observation group was significantly higher than that of the control group,and the difference was statistically significant(χ2=5.696,P＜0.05).Conclusion:The ERAS-MDT model applied to the perioperative period of patients undergoing laparoscopic uterine myomectomy can reduce patient stress,decrease complications,improve patient quality of life,accelerate patient recovery,and increase satisfaction with postoperative care.
Enhanced recovery after surgeryMultidisciplinary collaborationLaparoscopic myomectomyPerioperative period
万方数据
维普
