Effect of multidisciplinary team collaborative nursing on wound healing and psychological symptoms in postoperative patients with gastrointestinal tumors

Table 1 Comparison of general data between the two groups

General information	MDT (n = 196)	Control (n = 168)	χ2/t	P value
Gender, n (%)
Male	112 (57.14)	91 (54.17)	0.325	0.569
Female	84 (42.86)	77 (45.83)
Tumor site, n (%)
Breadbasket	82 (41.84)	70 (41.67)	0.528	0.768
Small intestine	63 (32.14)	59 (35.12)
Large intestine	51 (26.02)	39 (23.21)
ASA classification, n (%)
II	116 (59.18)	95 (56.55)	0.258	0.612
III	80 (40.82)	73 (43.45)
Age (mean ± SD, year)	63.88 ± 6.35	63.03 ± 6.52	1.258	0.209
BMI (mean ± SD, kg/m2)	23.06 ± 1.82	22.95 ± 1.73	0.588	0.557
Surgery time (mean ± SD, min)	127.27 ± 23.55	126.70 ± 22.82	0.234	0.815

MDT: Multidisciplinary team; BMI: Body mass index.

Table 2 Comparison of wound healing between the two group, n (%)

Groups	Case	Grade A healing	Grade B healing	Grade C healing
MDT	196	173 (88.27)	22 (11.22)	1 (0.51)
Control	168	126 (75.00)	36 (21.43)	6 (3.57)
		12.257
P value		0.002

MDT: Multidisciplinary team.

Table 3 Comparison of anxiety and depression symptom scores between the two groups (mean ± SD, score)

Groups	Case	HADS-A score		HADS-D score
		Before intervention	After 1 month of intervention	Before intervention	After 1 month of intervention
MDT	196	14.95 ± 2.51	7.13 ± 1.52a	14.01 ± 2.40	6.26 ± 1.36a
Control	168	15.09 ± 2.55	9.15 ± 1.87a	13.98 ± 2.32	8.05 ± 1.69a
t		0.527	11.365	0.121	11.192
P value		0.599	< 0.001	0.904	< 0.001

^aP < 0.05 vs same group before intervention.

MDT: Multidisciplinary team; HADS-A: Anxiety Self-Rating Scale; HADS-D: Depression Self-Rating Scale.

Table 4 Comparison of treatment compliance between the two groups, n (%)

Group	Cases	Full compliance	Partial compliance	Non-compliance	Total compliance
MDT group	196	150 (76.53)	45 (22.96)	1 (0.51)	195 (99.49)
Control group	168	112 (66.67)	49 (29.16)	7 (4.17)	161 (95.83)
χ²					4.054
P value					0.044

MDT: Multidisciplinary team.

Table 5 Comparison of quality-of-life scores between the two groups (mean ± SD, score)

Groups	Case	Physiological status		Social/family situation		Emotional status		Function status
		Before intervention	After 1 month of intervention	Before intervention	After 1 month of intervention	Before intervention	After 1 month of intervention	Before intervention	After 1 month of intervention
MDT	196	13.76 ± 3.33	26.69 ± 4.62	11.43 ± 2.65	18.51 ± 3.22	12.01 ± 2.77	21.19 ± 3.72	12.61 ± 2.45	18.39 ± 3.03
Control	168	13.15 ± 3.26	23.51 ± 4.37	11.19 ± 2.78	15.82 ± 3.09	11.92 ± 2.54	19.05 ± 3.51	12.74 ± 2.53	16.08 ± 2.75
t		1.759	6.712	0.824	8.095	0.321	5.615	0.497	7.565
P value		0.079	< 0.001	0.400	< 0.001	0.748	< 0.001	0.619	< 0.001

MDT: Multidisciplinary team.

Table 6 Comparison of the incidence of complications between the two groups, n (%)

Groups	Case	Infect	Surgical incision bleeding	Anastomotic fistula	Ileac passion	Total
MDT	196	4 (2.04)	1 (0.51)	1 (0.51)	0	6 (3.06)
Control	168	9 (5.36)	2 (1.19)	1 (0.60)	3 (1.78)	15 (8.93)
t						5.728
P value						0.017

P < 0.05 vs the same group before intervention.

MDT: Multidisciplinary team.