Contemporary Nursing

Objective To explore the clinical characteristics of the multidisciplinary team (MDT) diagnosis and treatment model and its impact on the first postoperative ambulation of patients with posterior fossa tumors. Methods A convenient sampling method was used to collect the time of first postoperative ambulation, hospitalization days, total hospitalization costs and patient satisfaction of all patients with posterior fossa tumors who underwent surgery from July to September 2024 in the experimental group and the control group. The experimental group was the neurosurgery department of the central hospital area, which adopted the MDT diagnosis and treatment model and carried out different intervention measures in the perioperative period: preoperative health education, and combined with the nutrition department and the endocrinology department to control the patients preoperative state to the optimal level. Methods and benefits of early ambulation, prevention of thrombosis; nutritional assessment and support. During the operation, the operating room and anesthesia department used scalp infiltration and block; general anesthesia, regional block and the combination of the two anesthesia methods; minimally invasive surgery; avoidance of hypothermia; fluid balance and other methods to ensure the best surgical environment for patients. After surgery, the rehabilitation department was combined to provide patients with the most timely rehabilitation care. Non-opioid analgesia; respiratory management; urination and defecation management and rehabilitation of complications. The control group was the Department of Neurosurgery of the East Hospital, which adopted single-department diagnosis and treatment and gave patients routine nursing measures. Results A total of 33 patients in the experimental group were investigated, with the time of first postoperative bed-out time (2.42±1.30) days, hospitalization days (7.18±2.79) days, hospitalization costs (54281.89±40045.05) yuan, and patient satisfaction (99.24±1.62 points); a total of 34 patients in the control group were investigated, with the time of first postoperative bed-out time (3.85±1.31) days, hospitalization days (10.65±3.64) days, hospitalization costs (82121.57±20390.9) yuan, and patient satisfaction (95.09±3.03 points). Conclusion Based on the results of this study, it is recommended to promote the MDT model in the clinical practice of neurosurgery to improve the postoperative rehabilitation effect of patients with posterior cranial fossa tumors. Future studies should further explore the application effect of the MDT model in different types of neurosurgery and evaluate its cost-effectiveness.

Posterior fossa tumor; Infratentorial tumor; MDT; Ambulation