Abstract: Objective: To explore the effect of the medical integration mode on readiness for discharge and the quality of discharge guidance in patients and caregivers after pancreaticoduodenectomy. Methods: Convenience sampling was used and 40 inpatients who underwent pancreaticoduodenectomy in the department of pancreatic oncology were included in the intervention group from October 2020 to June 2021. Another 40 patients who underwent pancreaticoduodenectomy in the department of pancreatic oncology were included in the control group from January to September 2020. The control group received routine care and discharge guidance, and the intervention group received the medical integration mode intervention. The readiness for discharge and the quality of discharge guidance were compared between two groups. Results: The total scores of the readiness for discharge and the scores of all dimensions of the intervention group patients and caregivers were significantly higher than those of the control group (P<0.05). The total scores of discharge guidance quality and the scores of all dimensions of the intervention group were significantly higher than the control group (P<0.05). Conclusion: The medical integration mode can improve the readiness for discharge and the quality of discharge guidance in patients and caregivers underwent pancreaticoduodenectomy, which is effective for developing continuous nursing services after discharge.

Key words: The medical integration mode, Pancreaticoduodenectomy, Readiness for discharge

摘要： 目的：探讨医护一体化干预对行胰十二指肠切除术后患者及照顾者出院准备度及出院指导质量的影响。 方法：采用便利抽样法，选取 2020 年 1 月至 2021 年 6 月行胰十二指肠切除术的 80 例住院患者作为研究对象，将 2020 年 1 月至 9 月住院的 40 例患者作为对照组，予以常规护理和出院指导；2020 年 10 月至 2021 年 6 月住院的 40 例患者作为观察组，实施医护一体化干预，比较两组患 者及照顾者的出院准备度及出院指导质量。结果：观察组患者及照顾者的出院准备度总分及各维度得分高于对照组，差异有统计学意义(P<0.05)，观察组出院指导质量总分及各维度得分高于对照组，差异有统计学意义(P<0.05)。 结论：医护一体化干预可提升胰十二指肠切除术患者及照顾者的出院准备度和出院指导质量，利于患者出院后延续护理服务的有效开展。

关键词: 医护一体化, 胰十二指肠切除术, 出院准备度