The effects of doctor-nurse integrated care management model on fast track perioperative management of colorectal cancer patients

Abstract

Objective To explore effects of doctor-nurse integrated care management model on fast track (FT) perioperative management of colorectal cancer patients. Methods Between January 2014 and September 2014, 112 colorectal cancer patients (innovation group) underwent doctor-nurse integrated care and FT management in West China Hospital were analyzed retrospectively; who were compared with 96 patients (control group) underwent FT management from the same period of 2011. Early postoperative rehabilitation indicators, length of hospital stay, 30d readmission rates, total hospitalization costs and patients satisfaction were compared. Results Innovation group of patients for the first time of post-operative flatus, defecation, oral feeding, ambulation, gastric and drainage tubes removal time were all earlier than those in control group, P 0.05; the length of hospital stay in innovation group(6.05±2.05) d was significantly shorter than that in control group (7.85±3.22) d, P < 0.05; preoperative hospital stay in innovation group was (1.35±0.45) d, shorter than that in control group (2.56±0.63)d, P < 0.05; the patients satisfaction points in innovation group was (94.12±3.12) points, which was higher than that in control group (86.36±5.51) points, t=2.589, P <0.05. Conclusion Doctor-nurse integrated care management model can improve postoperative rehabilitation effects, can reduce average hospital stay, total hospitalization costs and improve patients satisfaction. Key words: Colorectal cancer; Treatment outcome; Patients satisfaction; Doctor-nurse integrated care; Fast track surgery