MDT护理干预在老年腹腔镜下胆总管切开取石术患者中的应用价值

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Abstract Objective To explore the application value of multi-disciplinary team(MDT)nursing intervention in elderly patients undergoing laparoscopic common bile duct incision and stone removal.Methods A total of 84 elderly patients undergoing laparoscopic choledochectomy and lithotripsy who were admitted to Yichun People′s Hospital from October 2019 to October 2020 were selected as the research subjects.They were divided into the control group(42 cases)and the observation group(42 cases)by using random number table.Patients in the control group received routine nursing care,and patients in the observation group used MDT nursing intervention.The recovery of gastrointestinal function,pain degree,quality of life,nursing satisfaction and total occurrence of postoperative complications were compared between the two groups.Results The observation group′s postoperative food intake,first anal exhaust,first defecation,and bowel sound recovery time were shorter than those of the control group,the differences were statistically significant(P＜0.05).Before the intervention,the visual analogue scoring(VAS),the quality of life questionnaire(QOL-30)score comparison showed no significant differences(P＞0.05).After the intervention,the VAS score of the observation group was lower than that of the control group,and the QOL-30 score was higher than that of the control group,the differences were statistically significant(P＜0.05).The total nursing satisfaction of the observation group was higher than that of the control group,the total incidence of postoperative complications in the observation group was lower than that of the control group,the differences were statistically significant(P＜0.05).Conclusion The application of MDT nursing intervention in elderly patients undergoing laparoscopic common bile duct incision and stone removal can promote the recovery of gastrointestinal function,reduce postoperative complications,improve the quality of life,and increase nursing satisfaction.

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FU Ying,FU Ting. Application value of MDT nursing intervention in elderly patients undergoing laparoscopic common bile duct incision and stone removal[J]. 中国当代医药, 2021, 28(26): 255-258.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2021/V28/I26/255

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