探讨个案管理师参与的多学科团队(MDT)管理模式在肺癌患者围手术期的应用效果。

选取2019年2—3月收治的行肺叶切除术的46例肺癌患者作为试验组，实施个案管理师参与的MDT管理模式。回顾2018年2—3月未进行个案管理师参与的MDT管理模式的行肺叶切除术的53例肺癌患者作为对照组。对两组患者术后疼痛评分、术后住院时间、并发症发生率、住院费用、抑郁焦虑得分、住院满意度等指标进行比较和分析。

试验组患者术后48 h和出院时的疼痛评分均低于对照组，术后住院时间少于对照组，住院满意度高于对照组，差异均有统计学意义(P<0.05)。两组术后24 h的疼痛评分、并发症发生率、住院费用、焦虑抑郁得分的差异均无统计学意义(P>0.05)。

个案管理师参与的MDT管理模式适合于肺癌围手术期患者，可以减轻患者术后疼痛，缩短术后住院时间，提高住院满意度，实现医疗资源的有效整合。

To explore the application effect of multidisciplinary team (MDT) management mode involving case manager in perioperative period of lung cancer patients.

A total of 46 patients who underwent pulmonary lobectomy in our department from February to March 2019 were selected as the experimental group, and the MDT management model involving the case manager was implemented. A retrospective review of 53 patients who underwent lobectomy from February to March 2018 was included as a control group. The postoperative pain assessment scores, postoperative hospital stay, complication rate, hospitalization expenses, depression and anxiety scores, and hospitalization satisfaction were compared between the two groups.

The pain assessment scores of the patients in the experimental group were lower than those in the control group at 48h and discharge after operation. The postoperative hospital stay was lower than the control group and the satisfaction was higher than the control group, and the difference was statistically significant (P<0.05). There was no significant difference in pain assessment score after 24h, complication rate, hospitalization cost, anxiety and depression score between the experimental group and the control group (P>0.05).

The MDT management model involved in the case manager is suitable for patients with perioperative lung cancer, which can reduce postoperative pain, reduce postoperative hospital stay and improve satisfaction, and achieve effective integration of medical resources.