Abstract

Purpose: To explore the effect of medical nursing integrated nursing mode on the quality of care of patients undergoing laparoscopic Roux-en-Y gastric bypass (LRYGB) bariatric surgery. Methods: A total of 60 patients from January 2018 to December 2018 were enrolled as the control group, and 60 patients from January 2019 to December 2019 were enrolled as the intervention group. In the control group, patients were cared by the routine nursing mode. In the intervention group, medical nursing integrated nursing mode was adopted in addition to the routine LRYGB nursing process. The waiting time of preoperative examination, preoperative HAMA and SDS scores, postoperative complication rates, time indicators of nursing quality and patient satisfaction in the two groups were collected and compared. Results: The waiting time of preoperative examination was shortened (<I>P</I><0.05), preoperative anxiety and depression were reduced (<I>P</I><0.05), the complication rates of postoperative bleeding, infection, wound pain and abdominal distension were reduced (<I>P</I><0.05), the time indicators of nursing quality were shortened (<I>P</I><0.05) and patient satisfaction was improved in the intervention group compared to the control group (<I>P</I><0.05). Conclusions: Application of medical nursing integrated nursing mode in patients undergoing LRYGB bariatric surgery can alleviate the negative emotions of anxiety and depression before surgery, reduce the postoperative complication rates, improve the quality of care and patient satisfaction.

Highlights

  • Obesity refers to the accumulation and abnormal distribution of body fat caused by a variety of factors such as heredity, high-calorie, high-fat diet and lack of physical exercise [1]

  • The routine nursing mode in the perioperative period of bariatric surgery is mainly that nurses passively perform doctors' orders, and the lack of active communication with doctors, the neglect of patients' physiological and psychological changes and the lack of personalized nursing care for patients' postoperative diet and targeted nursing care to prevent patients' postoperative complications make it American Journal of Nursing Science 2020; 9(4): 215-219 difficult to improve the quality of care of patients undergoing laparoscopic Roux-en-Y gastric bypass (LRYGB) bariatric surgery [5]

  • From 2019, our department of international bariatric center has started to pilot and implement the medical nursing integrated nursing mode in patients undergoing LRYGB bariatric surgery, which significantly improved the quality of care of the patients

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Summary

Introduction

Obesity refers to the accumulation and abnormal distribution of body fat caused by a variety of factors such as heredity, high-calorie, high-fat diet and lack of physical exercise [1]. The routine nursing mode in the perioperative period of bariatric surgery is mainly that nurses passively perform doctors' orders, and the lack of active communication with doctors, the neglect of patients' physiological and psychological changes and the lack of personalized nursing care for patients' postoperative diet and targeted nursing care to prevent patients' postoperative complications make it American Journal of Nursing Science 2020; 9(4): 215-219 difficult to improve the quality of care of patients undergoing LRYGB bariatric surgery [5]. From 2019, our department of international bariatric center has started to pilot and implement the medical nursing integrated nursing mode in patients undergoing LRYGB bariatric surgery, which significantly improved the quality of care of the patients.

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