CAJ | 학술논문

目的：探索多学科合作模式在快速康复外科实践中的效果。方法选择2011年1月—2013年12月，胃肠外科所有拟行腹腔镜胃癌根治术的患者500例。按随机数字表法分成研究组和对照组，每组250例，对照组按传统护理模式给予常规围术期护理，研究组组建多学科合作团队，通过周密设计多学科合作模式的快速康复流程，严格把握工作程序，进行有效质量控制，评价其术后康复效果，患者及医护人员满意度，观察多学科合作团队的应用效果。结果研究组患者满意度为97.05%，快速康复外科多学科合作组患者术后首次肛门排气时间为（2.13±0.69）d、首次下床时间为（1.33±1.13）d、术后胃管留置时间为（2.00±1.56）d、术后首次进食时间为（5.00±1.42）d、术后住院时间为（13.24±3.12）d，均优于对照组，差异有统计学意义（t 值分别为-16.8896，-25.0680，-14.7059，-14.1901，-5.6934；P ＜0.05）。结论快速康复外科多学科合作模式可促进患者术后快速康复，是临床行之有效的实践方法。
목적：탐색다학과합작모식재쾌속강복외과실천중적효과。방법선택2011년1월—2013년12월，위장외과소유의행복강경위암근치술적환자500례。안수궤수자표법분성연구조화대조조，매조250례，대조조안전통호리모식급여상규위술기호리，연구조조건다학과합작단대，통과주밀설계다학과합작모식적쾌속강복류정，엄격파악공작정서，진행유효질량공제，평개기술후강복효과，환자급의호인원만의도，관찰다학과합작단대적응용효과。결과연구조환자만의도위97.05%，쾌속강복외과다학과합작조환자술후수차항문배기시간위（2.13±0.69）d、수차하상시간위（1.33±1.13）d、술후위관류치시간위（2.00±1.56）d、술후수차진식시간위（5.00±1.42）d、술후주원시간위（13.24±3.12）d，균우우대조조，차이유통계학의의（t 치분별위-16.8896，-25.0680，-14.7059，-14.1901，-5.6934；P ＜0.05）。결론쾌속강복외과다학과합작모식가촉진환자술후쾌속강복，시림상행지유효적실천방법。
Objective To explore the implementation of multi-disciplinary healthcare teamwork in Fast Track Surgery( FTS). Methods A total of 500 patients,who would have laparoscopic radical resection of gastric cancer during January 2011 to December 2013,were averagely divided into control group( traditional nursing model and routine perioperative nursing) and experimental group ( multi-disciplinary healthcare teamwork)by random number table. The patients of experimental group received fast recovery process by careful design,strict work procedure,effective quality control and were assessed the effect of recovery,satisfaction of medical staffs and observed the application effect of multi-disciplinary healthcare teamwork. Results The satisfaction of experimental group for intervention was 97. 05% ,and the first time of fart(2. 13 ± 0. 69)d,first time to get out of bed(1. 33 ± 1. 13)d,length of gastric tube indwelling time(2. 00 ± 1. 56)d,first time to feeding time(5. 00 ±1. 42)d,post-hospitalization time(13. 24 ± 3. 12),that all were better than those of the control group(t = -16. 889 6,-25. 068 0,-14. 705 9,-14. 190 1,-5. 693 4;P <0. 05). Conclusions The multi-disciplinary healthcare team is an effective approach to promote patients' recovery in Fast Track Surgery, and is a effective way in the clinical.