Application of Medical Nursing Integrated Nursing Mode in Patients Undergoing Laparoscopic Roux-en-Y Gastric Bypass Bariatric Surgery

American Journal of Nursing Science(2020)

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摘要
Purpose: To explore the effect of medical nursing integrated nursing mode on the quality of care of patients undergoing laparoscopic Roux-en-Y gastric bypass (LRYGB) bariatric surgery. Methods: A total of 60 patients from January 2018 to December 2018 were enrolled as the control group, and 60 patients from January 2019 to December 2019 were enrolled as the intervention group. In the control group, patients were cared by the routine nursing mode. In the intervention group, medical nursing integrated nursing mode was adopted in addition to the routine LRYGB nursing process. The waiting time of preoperative examination, preoperative HAMA and SDS scores, postoperative complication rates, time indicators of nursing quality and patient satisfaction in the two groups were collected and compared. Results: The waiting time of preoperative examination was shortened (P\u003c0.05), preoperative anxiety and depression were reduced (P\u003c0.05), the complication rates of postoperative bleeding, infection, wound pain and abdominal distension were reduced (P\u003c0.05), the time indicators of nursing quality were shortened (P\u003c0.05) and patient satisfaction was improved in the intervention group compared to the control group (P\u003c0.05). Conclusions: Application of medical nursing integrated nursing mode in patients undergoing LRYGB bariatric surgery can alleviate the negative emotions of anxiety and depression before surgery, reduce the postoperative complication rates, improve the quality of care and patient satisfaction.
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