Sun Yingxue, Han Meili. Application of multidisciplinary team-fast track surgery in the perioperative nursing of patients with degenerative lumbar spinal stenosis[J]. Health Medicine Research and Practice, 2020,17(2):84-87.
Sun Yingxue, Han Meili. Application of multidisciplinary team-fast track surgery in the perioperative nursing of patients with degenerative lumbar spinal stenosis[J]. Health Medicine Research and Practice, 2020,17(2):84-87.DOI:
Objective To explore the effect of adopting the approach of multidisciplinary team-fast track surgery(MDT-FTS)in perioperative nursing of patients with degenerative lumbar spinal stenosis(LSS).Methods A total of 132 patients with degenerative LSS admitted to a hospital in Henan were enrolled as the research subjects from April 2016 to April 2019.The subjects were divided into an experimental group(n=66)and a control group(n=66)using a random number table.Patients in the control group were given routine nursing care
while patients in the experimental group received MDT-FTS nursing in addition.The time to first meal
time to first bowel movement and Newcastle Satisfaction with Nursing Scale(NSNS)scores after treatment were compared between the two groups;the Oswestry Dysfunction Index(ODI)and Barthel Index(Barthel)scores before and after nursing were compared between the two groups.Results The time to first meal in the control group was(6.77±0.91)h
and the time to first bowel movement was(26.33±2.70)h;the time to first meal in the experimental group was(4.56±0.82)h
and the time to first bowel movement was(16.13±2.30)h.The time to first meal and time to first bowel movement in the experimental group were shorter than those in the control group
and the difference was statistically significant(P<0.05).Before nursing
there was no significant difference in ODI and Barthel scores between the two groups(P>0.05).After nursing
the ODI score of the two groups of patients was lower than those before nursing
and that of the experimental group was significantly lower than the control group(P<0.05);Barthel score of the two groups was higher than before nursing
and that of the experimental group was significantly higher than the control group(P<0.05).The total satisfaction with nursing of patients in the experimental group was 93.94%
higher than 81.82%of the control group
and the difference was statistically significant(P<0.05).Conclusion Application of the concept of multidisciplinary team-fast track surgery in the perioperative nursing of patients with degenerative lumbar spinal stenosis speeds up the rehabilitation process of patients and improves the patients′postoperative self-care ability and satisfaction with nursing.
关键词
退行性腰椎管狭窄症围手术期快速康复理念多学科合作功能障碍日常生活能力
Keywords
Degenerative lumbar spinal stenosisPerioperative periodFast track surgeryMultidisciplinary teamDysfunctionDaily life performance