多学科协作模式在颞下颌关节强直肋骨肋软骨重建术患者护理中的应用

doi:10.19438/j.cjoms.2023.06.004

中国口腔颌面外科杂志 ›› 2023, Vol. 21 ›› Issue (6): 553-558.doi: 10.19438/j.cjoms.2023.06.004

多学科协作模式在颞下颌关节强直肋骨肋软骨重建术患者护理中的应用

何美娟^1#, 夏滴^1#, 白果², 赵界云², 俞蕾蕾^1,*, 顾雅洁^1,*

1.上海交通大学医学院附属第九人民医院护理部,2.口腔外科,上海 200011

收稿日期:2023-06-05 修回日期:2023-08-23 出版日期:2023-11-20 发布日期:2023-12-07
通讯作者: 俞蕾蕾,E-mail: sile1988@126.com;顾雅洁,E-mail: kouqiangwaike0304@126.com。^*共同通信作者
作者简介:何美娟(1993-),女,本科,护师,E-mail: 1198635731@qq.com;夏滴(1995-),女,在读硕士研究生,E-mail: 445294410@qq.com。^#并列第一作者
基金资助:
国家自然科学基金(82271038); 上海交通大学医学院护理学科建设项目-青年人才

The application of multi-disciplinary collaborative model in nursing care of patients undergoing temporomandibular joint ankylosis with costochondral rib graft reconstruction surgery

HE Mei-juan¹, XIA Di¹, BAI Guo², ZHAO Jie-yun², YU Lei-lei¹, GU Ya-jie¹

1. Nursing Department, 2. Department of Oral Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine. Shanghai 200011, China

Received:2023-06-05 Revised:2023-08-23 Online:2023-11-20 Published:2023-12-07

摘要/Abstract

摘要： 目的: 探讨多学科协作模式(multi-disciplinary team,MDT)在颞下颌关节强直肋骨肋软骨重建术患者护理中的应用效果。方法: 选择2022年1月—2023年2月在上海交通大学医学院附属第九人民医院口腔外科因颞下颌关节强直行肋骨肋软骨重建术的66例患者为研究对象,以随机数列分为对照组（31例）与实验组（35例）。对照组给予常规护理,实验组实施MDT协作模式,比较2组患者术后恢复情况、术后口腔健康状态、术后生活质量及出院患者护理满意度的差异。采用SPSS 25.0软件包对数据进行统计学分析。结果: 实验组患者住院时间显著少于对照组(P<0.05),术后口腔健康状态、生活质量及出院护理满意度显著高于对照组(P<0.05)。结论: MDT协作模式优于传统常规护理模式,有利于促进颞下颌关节强直行肋骨肋软骨重建术患者的术后康复,提高患者术后生活质量和护理满意度。

关键词: 颞下颌关节强直, 多学科协作, 围术期, 护理模式, 护理满意度

Abstract: PURPOSE: To explore the application effect of multi-disciplinary team (MDT) collaboration model in the nursing care of patients undergoing costochondral rib graft reconstruction for temporomandibular joint ankylosis. METHODS: A total of 66 patients undergoing rib costochondral cartilage reconstruction due to temporomandibular joint stiffness in Department of Oral Surgery, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine from January 2022 to February 2023 were selected as the study objects. The patients were randomly divided into control group (31 cases) and experimental group(35 cases). The control group received routine nursing care, while the experimental group implemented MDT collaboration model. The differences in postoperative recovery, postoperative oral health status, postoperative quality of life, and patient satisfaction with nursing care at discharge were compared between the two groups.SPSS 25.0 software package was used for data analysis. RESULTS: The length of hospital stay in the experimental group was significantly shorter than that in the control group(P<0.05), and the postoperative oral health status, postoperative quality of life, and patient satisfaction with nursing care at discharge was higher than those in the control group(P<0.05). CONCLUSIONS: MDT collaboration model is superior to the traditional routine nursing care model and is beneficial to promoting the postoperative recovery of patients undergoing costochondral rib graft reconstruction for temporomandibular joint ankylosis, improving their postoperative quality of life and nursing care satisfaction.

Key words: Temporomandibular joint ankylosis, Multi-disciplinary team, Perioperative period, Nursing mode, Nursing satisfaction

中图分类号:

R473

何美娟, 夏滴, 白果, 赵界云, 俞蕾蕾, 顾雅洁. 多学科协作模式在颞下颌关节强直肋骨肋软骨重建术患者护理中的应用[J]. 中国口腔颌面外科杂志, 2023, 21(6): 553-558.

HE Mei-juan, XIA Di, BAI Guo, ZHAO Jie-yun, YU Lei-lei, GU Ya-jie. The application of multi-disciplinary collaborative model in nursing care of patients undergoing temporomandibular joint ankylosis with costochondral rib graft reconstruction surgery[J]. China J Oral Maxillofac Surg, 2023, 21(6): 553-558.

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多学科协作模式在颞下颌关节强直肋骨肋软骨重建术患者护理中的应用

The application of multi-disciplinary collaborative model in nursing care of patients undergoing temporomandibular joint ankylosis with costochondral rib graft reconstruction surgery

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