Application Research Of Multidisciplinary Collaborative Nursing Model In Perioperative Period Of Elderly Patients With Esophageal Carcinoma

Objective To explore the effect of multidisciplinary cooperative nursing model on postoperative rehabilitation,hospital satisfaction and perioperative anxiety in elderly patients with esophageal cancerMethods Select 36 patients with esophageal cancer who were consistent with the inclusion standard with endoscopic esophageal cancer radical surgery from January 2017 to July 2017 were enrolled in this study,which as experimental group.Retrospective analysis of 36 elderly patients in line with the inclusion criteria from June 2016-December 2016 as the control.In the control group,routine perioperative nursing of esophageal carcinoma was performed.The experimental group was treated with multidisciplinary cooperative nursing model on the basis of the control group.Collected the first time to get out of bed,indwelling catheterization time,pain score,postoperative hospitalization time,the incidence of complications,the rate of accidental extubation(gastric tube,thoracic tube),30d readmission rate,the serum albumin value and the BMI of 1d before surgery and 10d after surgery,the total times of diarrhea in 10 days,satisfaction with nursing service,the patients anxiety scores of Id before surgery and 6d after surgery of two groups.SPSS 19.0 software was used to describe and analyze all the data.Results ?Postoperative rehabilitation aspect:the experimental group is obviously shorter than the matched group on the leaving bed time,postoperative indwelling catheter and hospital stay,and the difference has statistical significance(P<0.05).there is a decline in the incidence of the experimental group when compared with the matched group on the aspect of complication probability,readmission cases after 30d and accidental extubation cases,and the difference has statistical significance(P<0.05).Daily pain average from Id to 7d after operation,the experimental group is lesser than the matched group from the aspect of the value from Id to 6d,and the difference has statistical significance(P<0.05),the value do not have any difference in 7d after operation,which has no statistical significance.The descend range of the experimental group is lesser than the matched group when compared with the BMI difference between 10d after operation and Id pre-operation,and the serum albumin difference in same time,and the difference has statistical significance(P<0.05);total times of diarrhea during 1d to 10d after operation of the experimental group is lesser than the matched group,and the difference has statistical significance(P<0.05).?Satisfaction degree of inpatients in terms of nursing service:Inpatients in experimental group has higher satisfaction degree than matched group on the aspect of nursing service,and the difference has statistical significance(P<0.05).?The HADA of the patients in experimental group 6d after operation is lower than 1d prior to the operation,which could indicate that the anxiety level of the patient is decreasing,and the difference has statistical significance(P<0.05).Conclusion Multidisciplinary collaborative nursing model can speed up the rehabilitation of elderly patients with esophageal cancer,improve the satisfaction of nursing work and reduce the degree of perioperative anxiety.