多学科协同管理的手术室优化流程在子宫肌瘤切除术中的应用。

IF 1 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Hongwen Xu, Hui Yu
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引用次数: 0

摘要

本研究评估了采用多学科团队管理的优化手术室流程对腹腔镜子宫肌瘤切除术结果的影响。共纳入1000例患者,其中500例接受标准围手术期护理(对照组),500例接受多学科团队干预(观察组)。多学科团队管理包括术前评估、心理咨询、康复规划;术中协调定位,双静脉通路,体温控制;术后安全转移,个体化伤口护理和营养支持。两组均行标准腹腔镜子宫肌瘤切除术。评估的结果包括自我护理能力、心理状态、活动时间、舒适度、住院时间、并发症、生活质量和患者满意度。术后观察组患者自我护理能力量表得分显著提高,焦虑抑郁水平降低,行走时间提前,舒适度提高,住院时间缩短,并发症减少,Short -36评分提高,护理满意度提高。这些益处在3个月的随访中持续存在。多学科团队为基础的围手术期管理显著提高肌瘤切除术的康复、心理健康和患者满意度,支持其更广泛的临床应用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Application of operation room optimization process with multidisciplinary collaborative management in myomectomy.

This study evaluated the impact of an optimized operating room process incorporating multidisciplinary team management on outcomes of laparoscopic myomectomy. A total of 1,000 patients were enrolled, with 500 undergoing standard perioperative care (control group) and 500 receiving multidisciplinary team-based interventions (observation group). The multidisciplinary team management included preoperative assessment, psychological counseling, and rehabilitation planning; intraoperative coordinated positioning, dual venous access, and temperature control; and postoperative safe transfer, individualized wound care, and nutrition support. Both groups underwent standardized laparoscopic myomectomy. Outcomes assessed included self-care ability, psychological status, ambulation time, comfort level, length of stay, complications, quality of life, and patient satisfaction. Postoperatively, the observation group showed significantly higher self-care ability scale scores, reduced anxiety and depression levels, earlier ambulation, improved comfort, shorter hospital stays, fewer complications, higher Short Form-36 scores, and greater care satisfaction. These benefits were sustained at a 3-month follow-up. The multidisciplinary team-based perioperative management significantly enhances recovery, psychological well-being, and patient satisfaction in myomectomy, supporting its broader clinical application.

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来源期刊
African journal of reproductive health
African journal of reproductive health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
1.20
自引率
10.00%
发文量
0
期刊介绍: The African Journal of Reproductive Health is a multidisciplinary and international journal that publishes original research, comprehensive review articles, short reports, and commentaries on reproductive heath in Africa. The journal strives to provide a forum for African authors, as well as others working in Africa, to share findings on all aspects of reproductive health, and to disseminate innovative, relevant and useful information on reproductive health throughout the continent.
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