Effect of Multi-disciplinary Team Nursing Model on Stress,Nutritional Status and Postoperative Complications in Patients Undergoing Laparoscopy Gastrectomy
Objective To study the effect of multi-disciplinary team nursing model on stress,nutritional status and postoperative complications in patients undergoing laparoscopy gastrectomy(LG).Methods A total of 71 patients who underwent LG treatment in Xunwu County People's Hospital from December 2019 to December 2021 were selected and divided into control group(35 patients)and observation group(36 patients)according to the random number table method.The control group was given routine nursing mode,while the observation group was given multi-disciplinary team nursing model.The postoperative recovery indicators(anal exhaust time,first time to get out of bed,first time to eat,postoperative hospital stay),stress indicators[C-reactive protein(CRP),interleukin-6(IL-6),tumor necrosis factor-α(TNF-α)],patient-generated subjective global assessment(PG-SGA)score,and postoperative complications were compared between the two groups.Results The anal exhaust time,the first time to get out of bed,the first time to eat,and the postoperative hospital stay in the observation group were shorter than those in the control group(P＜0.05).The levels of CRP,IL-6 and TNF-α in the two groups after operation were higher than those before operation,but those in the observation group were lower than those in the control group(P＜0.05).The scores of patients'self-evaluation and medical staff evaluation in the two groups after nursing were lower than those before nursing,and those in the observation group were lower than those in the control group(P＜0.05).The incidence of postoperative complications in the observation group was 5.56％,which was lower than 20.00％in the control group(P＜0.05).Conclusion Multi-disciplinary team nursing model can shorten the postoperative recovery time of LG patients,reduce the surgical stress response,improve the nutritional status,and reduce the risk of postoperative complications.
Laparoscopy gastrectomyMulti-disciplinary team nursing modelC-reactive proteinNutritional status
万方数据
维普
