Yan-Hong Liang, Yong-Xia Wu, Li-Li Liu, Chun-Mei Du, Qing-Chao Yan, Ning Sun, Jin Li
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After surgery, sedation intervention, pipeline fixation, assistance for early patient activity and early enteral nutrition were given according to the assessment of the patients' conditions. Satisfaction with care, postoperative complications, postoperative ambulation time, length of hospitalization, and total hospital costs were compared between the two groups.</p><p><strong>Results: </strong>The nursing satisfaction rate in the enhanced care group was 93.98%, significantly higher than the 87.67% observed in the traditional care group (χ² = 4.210, <i>p</i> < 0.05). The incidence of postoperative complications was notably lower in the enhanced care group (6.12%) compared to the traditional care group (34.69%) (χ² = 9.800, <i>p</i> < 0.05). Additionally, the enhanced care group demonstrated shorter postoperative ambulation time by an average of 1.38 days (t = -9.082, <i>p</i> < 0.05), reduced hospital stay by 3 days (t = -5.658, <i>p</i> < 0.05), and lower hospitalization costs by RMB 3,906 (t = -5.510, <i>p</i> < 0.05).</p><p><strong>Conclusion: </strong>The implementation of an enhanced perioperative nursing model for patients undergoing esophageal cancer surgery is associated with reduced postoperative complications, shorter hospital stays, and decreased healthcare costs. Standardizing and optimizing nursing care protocols may improve patient outcomes and overall satisfaction with perioperative care.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"1771-1778"},"PeriodicalIF":2.7000,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11955175/pdf/","citationCount":"0","resultStr":"{\"title\":\"Improving Nursing Care Models is Beneficial for the Perioperative Phase for Esophageal Cancer Patients.\",\"authors\":\"Yan-Hong Liang, Yong-Xia Wu, Li-Li Liu, Chun-Mei Du, Qing-Chao Yan, Ning Sun, Jin Li\",\"doi\":\"10.2147/JMDH.S500611\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>This study aimed to compare the effectiveness of traditional and enhanced nursing models in the perioperative care of patients undergoing esophageal cancer surgery.</p><p><strong>Methods: </strong>A total of 98 patients with esophageal cancer treated from January 2021 to December 2022 were selected by convenient sampling method for this retrospective study. They were categorized into the traditional care model and the improved care model with 49 patients in each group. The traditional care received standard care, and the improved care model group received the improved care model. The improved care group, on the basis of routine perioperative care, provided psychological intervention and cough training to patients before surgery. After surgery, sedation intervention, pipeline fixation, assistance for early patient activity and early enteral nutrition were given according to the assessment of the patients' conditions. Satisfaction with care, postoperative complications, postoperative ambulation time, length of hospitalization, and total hospital costs were compared between the two groups.</p><p><strong>Results: </strong>The nursing satisfaction rate in the enhanced care group was 93.98%, significantly higher than the 87.67% observed in the traditional care group (χ² = 4.210, <i>p</i> < 0.05). The incidence of postoperative complications was notably lower in the enhanced care group (6.12%) compared to the traditional care group (34.69%) (χ² = 9.800, <i>p</i> < 0.05). Additionally, the enhanced care group demonstrated shorter postoperative ambulation time by an average of 1.38 days (t = -9.082, <i>p</i> < 0.05), reduced hospital stay by 3 days (t = -5.658, <i>p</i> < 0.05), and lower hospitalization costs by RMB 3,906 (t = -5.510, <i>p</i> < 0.05).</p><p><strong>Conclusion: </strong>The implementation of an enhanced perioperative nursing model for patients undergoing esophageal cancer surgery is associated with reduced postoperative complications, shorter hospital stays, and decreased healthcare costs. 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引用次数: 0
摘要
目的：比较传统护理模式与强化护理模式在食管癌手术患者围手术期护理中的效果。方法：采用方便抽样法，选取2021年1月至2022年12月期间接受治疗的食管癌患者98例进行回顾性研究。将其分为传统护理模式和改进护理模式两组，每组49例。传统护理组采用标准护理，改进护理模式组采用改进护理模式。改良护理组在常规围手术期护理的基础上，术前对患者进行心理干预和咳嗽训练。术后根据患者病情评估给予镇静干预、管道固定、协助患者早期活动及早期肠内营养。比较两组患者的护理满意度、术后并发症、术后活动时间、住院时间和住院总费用。结果：强化护理组护理满意率为93.98%，显著高于传统护理组的87.67% （χ 2 = 4.210, p < 0.05）。强化护理组术后并发症发生率（6.12%）明显低于传统护理组（34.69%）（χ²= 9.800,p < 0.05）。强化护理组术后平均下床时间缩短1.38天（t = -9.082, p < 0.05），住院时间缩短3天（t = -5.658, p < 0.05），住院费用减少3906元（t = -5.510, p < 0.05）。结论：食管癌手术患者实施强化围手术期护理模式可减少术后并发症，缩短住院时间，降低医疗费用。标准化和优化护理方案可以改善患者的预后和围手术期护理的总体满意度。
Improving Nursing Care Models is Beneficial for the Perioperative Phase for Esophageal Cancer Patients.
Objective: This study aimed to compare the effectiveness of traditional and enhanced nursing models in the perioperative care of patients undergoing esophageal cancer surgery.
Methods: A total of 98 patients with esophageal cancer treated from January 2021 to December 2022 were selected by convenient sampling method for this retrospective study. They were categorized into the traditional care model and the improved care model with 49 patients in each group. The traditional care received standard care, and the improved care model group received the improved care model. The improved care group, on the basis of routine perioperative care, provided psychological intervention and cough training to patients before surgery. After surgery, sedation intervention, pipeline fixation, assistance for early patient activity and early enteral nutrition were given according to the assessment of the patients' conditions. Satisfaction with care, postoperative complications, postoperative ambulation time, length of hospitalization, and total hospital costs were compared between the two groups.
Results: The nursing satisfaction rate in the enhanced care group was 93.98%, significantly higher than the 87.67% observed in the traditional care group (χ² = 4.210, p < 0.05). The incidence of postoperative complications was notably lower in the enhanced care group (6.12%) compared to the traditional care group (34.69%) (χ² = 9.800, p < 0.05). Additionally, the enhanced care group demonstrated shorter postoperative ambulation time by an average of 1.38 days (t = -9.082, p < 0.05), reduced hospital stay by 3 days (t = -5.658, p < 0.05), and lower hospitalization costs by RMB 3,906 (t = -5.510, p < 0.05).
Conclusion: The implementation of an enhanced perioperative nursing model for patients undergoing esophageal cancer surgery is associated with reduced postoperative complications, shorter hospital stays, and decreased healthcare costs. Standardizing and optimizing nursing care protocols may improve patient outcomes and overall satisfaction with perioperative care.
期刊介绍：
The Journal of Multidisciplinary Healthcare (JMDH) aims to represent and publish research in healthcare areas delivered by practitioners of different disciplines. This includes studies and reviews conducted by multidisciplinary teams as well as research which evaluates or reports the results or conduct of such teams or healthcare processes in general. The journal covers a very wide range of areas and we welcome submissions from practitioners at all levels and from all over the world. Good healthcare is not bounded by person, place or time and the journal aims to reflect this. The JMDH is published as an open-access journal to allow this wide range of practical, patient relevant research to be immediately available to practitioners who can access and use it immediately upon publication.
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