Abstract:

Objective To investigate the application effect of the multidisciplinary collaborationmodel under the concept of enhanced recovery after surgery （ERAS） in simultaneous pancreas-kidneytransplantation. Methods Forty-seven recipients who underwent their first simultaneous pancreas-kidney transplantation from April 2020 to August 2024 in the Second Affiliated Hospital of Guangxi Medical University were selected as the research subjects and randomly divided into the control group and the observation group. The control group received routine postoperative care， while the observation group was nursed under the multidisciplinary collaboration model based on the ERAS concept. Results The postoperative fasting blood glucose of the observation group was lower than that of the control group， and the length of hospital stay was shorter， with statistically significant differences（P ＜ 0.05）. There were no statistically significant differences in glycated hemoglobin， serum creatinine values， early postoperative complication rates， and survival outcomes between the two groups （P ＞ 0.05）. Conclusion The multidisciplinary collaboration model based on the ERAS concept in the nursing of patients undergoing simultaneous pancreas-kidney transplantation has achieved favorable outcomes， promoting the recovery of pancreatic function， shortening the hospitalstay， facilitating early recovery of patients， and enhancing patient satisfaction. 

Key words:

Simultaneous pancreas-kidney transplantation； , Enhanced recovery after surgery； , Multidisciplinary collaboration； , Nursing

摘要：

目的 探讨基于加速康复外科（enhanced recovery after surgery，ERAS）理念下多学科协作模式在胰肾联合移植中的应用效果。方法 选取 2020 年 4 月至 2024 年 8 月广西医科大学第二附属医院首次进行胰肾联合移植的 47 例受者为研究对象，分为对照组和观察组。对照组按术后常规护理，观察组采用 ERAS 理念下多学科协作模式护理。结果 观察组患者术后空腹血糖低于对照组，住院时长少于对照组，差异具有统计学意义（P ＜ 0.05）。两组患者糖化血红蛋白、血清肌酐值、术后早期并发症发生率、生存结局比较无统计学差异（P ＞0.05） 。结论 基于 ERAS 理念下多学科协作模式护理在胰肾联合移植患者中取得良好成效，能够促进胰腺功能恢复，缩短住院时间，促进患者早日康复，提升患者满意度。

关键词:

胰肾联合移植 , 加速康复外科 , 多学科协作 , 护理