Objective To explore the application effect of the medical and nursing care integration model in the in whole process management of robotic thyroid surgery via oral approach.Methods The study was conductad as a historical controued trial,involving 85 patients who underwent active thyroid procedures via the oral route at a tertiary Grade A cancer hospital located in Hunan province.43 patients from July 2021 to March 2022 were selected as the control group,adopting the conventional nursing mode.42 patients from April 2022 to November 2022 were selected as the observation group,adopting the medical and nursing integration model.The time used to set the single sterile arm cover,the time used to connect the mechanical arm,the average number of intraoperative adjustments of the mechanical arm,the doctors' satisfaction level with the nurses and the satisfaction level of patients with the nurses were compared between the two groups.Results In the observation group,the time used to set the single sterile arm cover and the time used to connect the mechanical arm were significantly shorter than those in the control group.The average number of intraoperative adjustments of the mechanical arm in the observation group was significantly less than that in the control group,and the doctor's satisfaction level with the nurses and the satisfaction level of patients with the nurses in the observation group were significantly higher than those in the control group(P<0.05).Conclusion Through the whole operation process management of robotic thyroid surgery via oral approach,the effective communication between doctors and nurses is enhanced,the mutual understanding of collaborative surgeries is improved,the efficiency and effectiveness of surgeries are increased.This model is conducive to the improvement of the outcome of patients'surgical treatment and surgical nursing quality.
medical and nursing care integration modelDa Vinci robotthyroid surgerynursing care
万方数据
维普
