机构地区:[1]上海交通大学医学院附属第九人民医院护理部,上海200011
出 处:《老年医学与保健》2023年第4期816-822,827,共8页Geriatrics & Health Care
基 金:上海交通大学医学院附属第九人民医院护理院级基金项目(JYHL20213D08)。
摘 要:目的评估多学科结构化查房模式联合3D打印技术在老年胃造瘘患者中的应用效果。方法选取2021年8月—2022年7月在上海交通大学医学院附属第九人民医院行胃造瘘术的老年患者129例,采用数字表法随机分为传统组、3D打印组、多学科+3D打印组,每组43例。传统组实施常规诊疗措施,3D打印组在传统组处理基础上使用3D打印技术定制个性化胃造瘘导管固定装置,多学科+3D打印组在传统组处理基础上实施多学科结构化查房模式联合3D打印技术定制个性化胃造瘘导管固定装置。对比3组的生活质量、自我效能、对胃造瘘导管固定方法的满意度、术后并发症、住院时间等情况。结果3组入院时的生活质量评分、自我效能评分差异均无统计学意义(P>0.05)。术后1个月,3组的生活质量评分、自我效能评分差异有统计学意义(P<0.05);两两比较,3D打印组的生活质量评分、自我效能评分与传统组的差异无统计学意义(P>0.05),多学科+3D打印组的生活质量评分、自我效能评分与3D打印组、传统组的差异均有统计学意义(P<0.05)。多学科+3D打印组和3D打印组对胃造瘘导管固定方法的满意度高于传统组,差异均有统计学意义(P<0.05);而多学科+3D打印组与3D打印组对胃造瘘导管固定方法的满意度差异无统计学意义(P>0.05)。3D打印组的术后并发症的发生率低于传统组(P<0.05),多学科+3D打印组的术后并发症的发生率低于3D打印组(P<0.05)。3D打印组的住院时间少于传统组(P<0.05),而多学科+3D打印组与3D打印组的住院时间的差异无统计学意义(P>0.05)。结论3D打印技术可提高患者对胃造瘘导管固定方法的满意度;多学科结构化查房模式联合3D打印技术可有效降低患者术后并发症的发生率,缩短住院时间,提高自我效能,提升生活质量,促进优质护理。Objective To evaluate the application effect of structured interdisciplinary bedside rounds(SIBR)com⁃bined with 3D printing technology in elderly patients with gastrostomy.Methods 129 elderly patients undergoing gastrostomy in Ninth People's Hospital,Medical College of Shanghai Jiaotong University from August 2021 to July 2022 were selected and randomly divided into traditional group,3D printing group and SIBR+3D printing group by digital table method,with 43 cases in each group.The traditional group received routine diagnosis and treatment.On the basis of the traditional group,the 3D printing group customized a personalized gastrostomy catheter fixation device based on 3D printing technology.On the basis of the traditional group,the SIBR+3D printing group implemented a SIBR mode and used 3D printing technology to customize a personalized gastrostomy catheter fixation device.The quality of life,self⁃efficacy,satisfaction with gastrostomy catheter fixa⁃tion,postoperative complications and length of hospital stay were compared among the three groups.Results There was no significant difference in the scores of quality of life and self⁃efficacy among the three groups at admission(P>0.05).One month after surgery,there were statistically significant differences in the scores of quality of life and self⁃efficacy among the three groups(P<0.05).Pairwise comparison showed that there was no significant difference in the scores of quality of life and self⁃efficacy between the 3D printing group and the traditional group(P>0.05);the scores of quality of life and self⁃effi⁃cacy of the SIBR+3D printing group were significantly different from those of the 3D printing group and the traditional group(P<0.05).The satisfaction of the SIBR+3D printing group and 3D printing group with the fixation method of gastrostomy catheter was higher than that of the traditional group,and the differences were statistically significant(P<0.05);while there was no significant difference in satisfaction with the fixation method of gast
关 键 词:老年 多学科结构化查房模式 3D打印技术 胃造瘘
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