Construction And Application Of Collective Multidisciplinary Education Model

Objectives: 1. To study the needs of preoperative visit in patients with thyroid surgery; 2. To build a collective multidisciplinary education in patients with thyroid surgery, and formulate corresponding workflow; 3. To explore the effects of collective multidisciplinary education application in patients with thyroid surgery. Methods: 1. Questionnaire was used to survey expectations and needs of preoperative visitor, visit contents, visit time, and other aspects in patients with thyroid surgery. 2. Delphi expert consensus was used to define education contents of collective multidisciplinary education model in patients with thyroid surgery. 3. C linical control trial was used to test the effectiveness of collective multidisciplinary education model in patients with thyroid surgery. Study subjects were divided into experimental group and control group by convenience sampling method. Two groups of subjects were given collective multidisciplinary education model and traditional one-to-one preoperative visit mode respectively. 4. Data was used typed in by EXCEL2013, and was analyzed by SPSS 20.0. Mean, media, percentage, and ration were analyzed by descriptive statistics. Enumeration data was analyzed by chi-square test. Measurement data was analyzed by t-test or Mann-Whitney U test. Results: 1. The highest ratio of patient needs were one day before operation(82.61%), combination of pamphlet, DVD and pictures(90.22%), OR nurse together with surgeon(85.87%), visit time less than one hour(65.22%), all of information related to surgery(77.17%). 2. Eleven experts were invited in the two rounds of Delphi expert consensus. Finally build the collective multidisciplinary education model, including eight dimension of information related to anesthesia, preoperative preparation, information related to procedure, and so on. 3. Total of 173 subjects was recruited. There were 100 in experimental group and 73 in control group. There was no statistics significance in comparison of year, sex, marriage status, education background, and other aspects. 4. The sleep time of the night just before the surgery of experimental group was 6.50h(6.00,7.75), control group was 6.00h(5.00,7.00), there was significant difference between the two group(P=0.007). 6. Completed ratio, of preoperative preparation of experimental group was 94%, control group was 85, there was significant difference between the two group(P=0.048). Uncompleted items of preoperative preparation were positon training, defecation, removal of the underwear. 7. SAS score after operation of experimental group was 32.50, control group was 35.00, there was significant difference between the two group(P=0.039). Reduction of SAS after operation of experimental group was 8.13, control group was 1.25, there was significant difference between the two group(P<0.001). 8. NRS score after operation of experimental group was 2.00 control group was 2.00, there was no significant difference between the two group(P=0.084). Reduction of NRS score after operation of experimental group was 1.00, control group was 2.00, there was no significant difference between the two group(P=0.125). 9. Patient satisfaction of experimental group was 98%, control group was85%, there was significant difference between the two group(P=0.075). Conclusions: 1. Results of Delphi expert consensus were reliable and the collective multidisciplinary education model was built. 2. A standardized and scientific workflow of collective multidisciplinary education model was formulate 3. Sleep quality and satisfaction of patients were improved by collective multidisciplinary education model. Collective multidisciplinary education model could alleviate patients’ anxiety and negative psychological feelings and improve patients’ self-care ability and patients’ satisfaction. 4. Psychological intervention model in similar disease application in collective multidisciplinary education model needs further study. 5. Internet-based preoperative education application in collective multidisciplinary education model need further study. Formation of corresponding quality assessment system may be the focus of future nursing research.