Abstract:

Objective To explore the application effect of integrated medical care mode in perioperative nursing of tuberculosis patients.Methods The pulmonary TB patients, undergoing surgery on June 2017, were divided into two groups randomly using random number tables, according to the application of doctor-nurse integration mode:(1) control group 100 cases were treated with the routine mode, which includes: parallel line management mode, doctor’s advice, and nurses’ passive implementation without crossover. (2) experimental group 100 cases were treated with the integration mode which includes through open communication and coordination and with shared responsibility, and mutual respect and trust and have a certain degree of professional knowledge and ability between doctors and nurses to provide patients with medical care. The pulmonary function indexes (FVE₁, FVC, FVE₁%), average hospitalization time, complication rate and patient satisfaction were compared between the two groups.Results Ventilatory function was tested at seven days after surgery. Compared with the control group with routine mode, the application of the new mode improved the ventilatory function significantly (FEV₁: (1.79±0.30)L vs (2.05±0.38)L, t=5.371, P=0.016; FVC: (2.49±0.55)L vs (3.05±0.61)L, t=6.824, P=0.010; FVE₁%: (45.79±3.13)% vs (49.05±5.38)%, t=5.243, P=0.017). There was also a significant improvement in hospitalization time((14.23±2.88 vs 10.45±2.15)days, t=-10.523,P=0.004), and a significant improvement in extubation time ((4.08±1.85 vs 2.54±0.97)days,t=-7.371,P=0.008). Moreover, there was also a higher complication rate detected in the control group (19 cases vs 3 cases, χ ²=11.494, P=0.003). Patient satisfaction has been found to be higher in the experimental group: strong satisfaction (61 cases vs 82 cases, χ ²=3.891, P=0.048), weak satisfaction (27 cases vs 12 cases, χ ²=7.172, P=0.007) and dissatisfaction (12 cases vs 6 cases, χ ²=1.532, P=0.220). The average hospitalization days, extubation time and complications in the integrated medical care group were lower than those in the previous group, and patients’ satisfaction was increased. Conclusion The integrated medical care model can promote the recovery of pulmonary function, shorten hospitalization time, reduce complications, and improve patients’ medical satisfaction.

Key words: Tuberculosis, pulmonary, Perioperative care, Nurse’s practice patterns;, Comparative study, Data interpretation, statistical