ABSTRACT
Objective@#To explore the effectiveness of multidisciplinary cooperation model-based preoperative visit on the and psychological stress of patients who undergo surgery for the first time.@*Methods@#A total of 100 patients who undergo surgery for the first time in the Central Hospital of Xiaogan between July 2018 and December 2018 were enrolled in the present study. Fifty patients were assigned to the research group and another 50 patients to the control group according to the random number table method. Patients in the control group received traditional one-to-one peroperative visit, while multidisciplinary cooperation model-based preoperative visit was carried out in the research group. The changes of fear scores, Self-rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS) scores, stress and coping mode as well as knowledge related to operation were compared before and after visit intervention.@*Results@#VAS scores in the research group after preoperative visit (6.05±1.11) and enter the operating room (7.32±1.09) were significantly higher than those in the control group (6.77±0.67 and 8.22±1.37), the difference was statistically significant (t=3.881, 3.527, P<0.05). After preoperative visit, the socres of SAS (38.65±4.42), SDS (40.38±3.87), avoidance and resignation (10.53±1.37 and 6.09±0.80) in the research group were lower than those in the control group (45.25±3.08, 46.49±4.62 and 12.68±1.98, 7.37±0.84), (t=6.129-8.453, P<0.05). The scores of confronce (22.61±3.87) and knowledge related to operation (44.00±5.36) in the research group were higher than those in the control group (18.70±2.97 and 40.02±6.30), there were significant differences between the two groups (t=5.518, 3.313, P<0.05).@*Conclusion@#Multidisciplinary cooperation model-based might be a useful preoperative visit model in decreasing the levels of psychological stress and promoting surgical cognition in patients undergoing surgery for the first time.
ABSTRACT
Objective To investigate the clinical effect of multidisciplinary cooperation model on the recovery of limb function of hemiplegic patients with acute stroke.Methods From March 2016 to March 2017,78 patients with acute stroke hemiplegia in the First People＇s Hospital of Huainan were selected,and they were randomly divided into observation group and control group according to the digital table,with 39cases in each group.The control group was given conventional treatment and nursing of neurology.The observation group was involved in multidisciplinary cooperative rehabilitation intervention early on the basis of the control group.The Barthel index was used to assess the patients＇daily living ability (ADL) after treatment and multidisciplinary cooperative rehabilitation interventions in the two groups,and the recovery of hemiplegia＇s limb function and sequelae were analyzed.Results Before intervention,the Barthel index of the observation group and the control group were (38.57 ±3.34) and (38.67 ±5.17 ) respectively,and the difference was not statistically significant (t＝1.78,P＞0.05).After intervention,the Barthel index of the observation group and the control group was (58.49 ±2.35) and (47.03 ±4.46),respectively,and the difference was statistically significant ( t ＝4.36,P ＜0.05 ).The satisfaction rate of the observation group was 100.00%,which of the control group was 82.05%,the difference between the two groups was statistically significant (χ2＝7.69,P＜0.01).Conclusion The intervention of multidisciplinary cooperation in the early intervention of hemiplegic limb function rehabilitation in acute stroke patients can obviously reduce the incidence of hemiplegic limb sequelae,and can improve the compliance and continuity of the later rehabilitation treatment of the patients with limb hemiplegia,and play a very active and effective role in the recovery of paralyzed limb function,and can improve the quality of life of patients,it is worthy of popularization and application in clinic.