分析医护一体化管理能否提高全麻下经支气管镜诊疗恶性中心气道狭窄患者耐受度、依从性及治疗效果。

纳入2022年1月至2023年12月我院收治的恶性中心气道狭窄行全麻下经支气管镜下介入治疗的68例患者，实施医护一体化介入手术35例为观察组，常规介入手术33例为对照组。比较两组患者术前不良情绪、术后舒适度、手术操作时间、总住院时间、并发症、满意度及复诊率等。

观察组操作总时长为(57.03±15.37)min、总住院时间为(5.37±2.03)d低于对照组(70.58±16.65)min、(7.21±1.93)d，差异具有统计学意义(P<0.05)；观察组术后舒适度评分(8.03±1.42)分、满意度88.58%、复诊率74.29%高于对照组(6.46±1.22)分、67.74%、48.39%，差异具有统计学意义(P<0.05)。两组并发症发生率比较无明显差异，未出现心跳骤停、恶性心律失常、大出血等严重并发症。

医护一体化管理可提高全麻下恶性气道狭窄经支气管镜诊疗患者的耐受度、满意度、依从性，缩短手术操作时间，有利于患者术后康复、改善病情及预后具有临床意义。

To explore whether the doctor-nurse collaboration management can improve the tolerance, compliance and therapeutic effect of patients with malignant central airway stenosis treated by bronchoscopy under general anesthesia.

According to the characteristics of patients with malignant central airway stenosis treated by bronchoscopy under general anesthesia and the environment of respiratory endoscopy room, the doctor-nurse collaboration management was established. The object of study were patients diagnosed as malignant central airway stenosis from January 2022 to December 2023 and treated by intervention by bronchoscope under general anesthesia. 68 patients were divided into two groups. There were 35 patients in the doctor-nurse collaboration management group (observation group) and 33 patients in the conventional management group (control group). The observation indicators included preoperative negative emotions, postoperative comfort, operation time, total hospitalization time, complications, satisfaction and referral rate.

The total operation time of the observation group was (57.03±15.37) min, which was significantly lower than that of the control group (70.58±16.65) min, and the hospitalization time was significantly shortened. Postoperative comfort score of the observation group was (8.03±1.42) points, satisfaction rate was 88.58%, subsequent visit rate was 74.29%, which were significantly higher than control group (6.46±1.22)points, 67.74%, 48.39%. There was no significant difference in the incidence of intraoperative and postoperative complications between the two groups, and there were no serious complications such as cardiac arrest, malignant arrhythmia and massive hemorrhage.

Doctor-nurse collaboration management can obviously improve patients with malignant airway stenosis under general anesthesia via bronchoscope treatment of tolerance, satisfaction, compliance, reduce the operation time, is worthy of clinical application.