[1]张峥,毛燕君.多学科团队护理模式在肺癌患者行CT引导下射频消融术围术期的应用效果[J].军事护理,2022,39(02):80-83.[doi:10.3969/j.issn.1008-9993.2022.02.020]
 ZHANG Zheng,MAO Yanjun.Effect of Multidisciplinary Team Nursing Model in Patients with Lung Cancer Undergoing CT-Guided Radiofrequency Ablation During Perioperative Period[J].Nursing Journal Of Chinese People's Laberation Army,2022,39(02):80-83.[doi:10.3969/j.issn.1008-9993.2022.02.020]
点击复制

多学科团队护理模式在肺癌患者行CT引导下射频消融术围术期的应用效果
分享到:

《军事护理》[ISSN:2097-1826/CN:31-3186/R]

卷:
39
期数:
2022年02期
页码:
80-83
栏目:
护理管理
出版日期:
2022-02-15

文章信息/Info

Title:
Effect of Multidisciplinary Team Nursing Model in Patients with Lung Cancer Undergoing CT-Guided Radiofrequency Ablation During Perioperative Period
文章编号:
1008-9993(2022)02-0080-04
作者:
张峥1毛燕君2
(1.同济大学附属上海市肺科医院 放射科,上海 200433; 2.同济大学附属上海市肺科医院 护理部)
Author(s):
ZHANG Zheng1MAO Yanjun2
(1.Department of Radiology, Shanghai Pulmonary Hospital Affiliated to Tongji University, Shanghai 200433, China; 2.Nursing Department, Shanghai Pulmonary Hospital Affiliated to Tongji University)
关键词:
多学科护理团队 CT 引导 射频消融 肺癌 围术期
Keywords:
multidisciplinary nursing team CT guided radiofrequency ablation lung cancer perioperative period
分类号:
R473
DOI:
10.3969/j.issn.1008-9993.2022.02.020
文献标志码:
A
摘要:
目的 探讨多学科团队护理模式在肺癌患者CT引导下射频消融术中应用的效果,以期为提高肺癌患者射频消融术护理质量提供参考。方法 2020年6-7月,以某院需行CT引导下经皮穿刺射频消融术的肺癌患者(n=52)为对照组,采用常规护理; 8-9月的患者(n=53)为观察组,采用多学科团队护理模式。收集两组患者射频消融术围术期的相关资料,比较术前准备完成率、候检时间、手术时长、术中意外事件发生率、术后并发症发生率和对护理工作的满意度。结果 与对照组相比,观察组术前准备完成率高(81.13% vs. 53.84%),候检时间少[41.2(18.5,61.8)vs. 55.7(26.7,78.5)min],手术耗时短[7.2(6.1,9.2)vs. 9.5(7.2,11.3)min],术中意外事件发生率低(11.32% vs.23.08%),术后并发症发生率低(5.61% vs. 15.38%),且满意率较高(98.42% vs. 80.77%),差异均有统计学意义(P<0.05或P<0.01)。结论 多学科团队护理模式在肺癌患者行CT引导下射频消融术的围术期护理中能有效提高术前准备质量,值得推广。
Abstract:
Objective To explore the effect of a multidisciplinary team nursing model in patients with lung cancer undergoing CT-guided radiofrequency ablation during perioperative period, and to provide reference to improve the clinical treatment.Methods Lung cancer patients requiring CT-guided percutaneous radiofrequency ablation in a hospital enrolled between June and July 2020 were treated as the control group(n=52)and adopted routine care.Patients of the same category enrolled from August to September 2020 were selected as the observation group(n=53)and adopted multidisciplinary team nursing.The waiting time, the completion rate of preoperative preparation, the duration of radiofrequency ablation, the incidence of postoperative complications and the satisfaction rate of nursing work were compared between these two groups.Results The preoperative readiness rate of observation group was higher than that of control group(81.13% vs. 53.84%, P<0.01).The waiting time was also shorter than that of the control group [41.2(18.5~61.8)vs. 55.7(26.7,78.5)min].The duration of radiofrequency ablation was less than that in the control group [7.2(6.1,9.2)vs. 9.5(7.2,11.3)min], while the incidence of intraoperative accidents was lower than the control group(11.32% vs. 23.08%).Besides, the incidence of postoperative complications in the observation group was lower than that in the control group(5.61% vs. 15.38%), and the satisfaction rate was significantly higher(98.42% vs. 80.77%).The differences were statistically significant(P<0.05 or P< 0.01)Conclusions The multidisciplinary team nursing model has obvious advantages in the perioperative nursing of patients with lung cancer undergoing CT-guided radiofrequency ablation, which is worthy of promotion.

参考文献/References:

[1] 魏章英,魏大琼,陈红梅,等.多学科团队护理模式在肺癌患者中的应用效果[J].中华现代护理杂志,2017,23(6):766-768.
[2] 龙海琼.64层螺旋CT 引导下射频消融术治疗恶性肿瘤的临床护理[J].深圳中西医结合杂志,2018,28(17):183-184.
[3] 张肖.CT引导下射频消融术治疗肺转移瘤[J].中国介入影像与治疗学, 2019,16,(3):131-134.
[4] 朱叶春,张琼,李蕾,等.多学科团队护理模式在急诊脑卒中患者中的应用[J].齐鲁护理杂志,2020,26(11):83-85.
[5] 刘文燕,李智.多学科护理团队研究进展及质量控制[J].现代医药卫生,2017,33(13):2007-2009.
[6] PILLAY B,WOOTTEN A C,CROWE H,et al.The impact of multi-disciplinary team meetings on patient assessment,manage ment and outcomes in oncology settings:a systematic review of the literature[J].Cancer Treat Rev,2016(42):56-72.
[7] 马丽,武伟,李颉,等.CT引导下肺肿瘤微创介入治疗围术期护理[J].中国介入影像与治疗学,2020,17(4):251-253.
[8] VAN DER SLUIS C K,DATEMA L,SAAN I,et al.Effects of a nurse practitioner on amultidisciplinary consultation team[J].J Adv Nurs,2009,65(3):625-633.

备注/Memo

备注/Memo:
【 收稿日期 】 2021-02-28 【 修回日期 】 2022-01-06
【 作者简介 】 张峥,硕士在读,副主任护师,从事放射护理管理工作
【 通信作者 】 毛燕君,电话:021-65115006-1009
更新日期/Last Update: 2022-02-15