Integrated medical and nursing ward rounds for a patient undergoing endoscopic dilation for the treatment of anastomotic stenosis following rectal cancer surgery

This article summarizes the experience of medical and nursing integrated ward rounds in a patient who underwent endoscopic dilation for the treatment of anastomotic stenosis following rectal cancer surgery. Firstly, a ward round team was established to report and discuss the patient's nursing issues, nursing objectives, nursing measures, and nursing effects, in order to provide a more comprehensive plan for the treatment and nursing of patients with anastomotic stenosis after rectal cancer surgery. A combined treatment and nursing pathway including Traditional Chinese Medicine techniques such as acupoint application and acupoint pressing, as well as dietary management, psychological support and stoma care was formulated to achieve multi-dimensional and comprehensive intervention throughout the entire process. The patient reported that the abdominal distension and pain had been relieved, and no other discomfort symptoms had occurred. The integrated medical and nursing ward rounds emphasizes the collaboration between medical staff and nurses, which is of great significance in enhancing the professional engagement and problem-solving capabilities of nursing staff. (本文总结1例直肠癌术后吻合口狭窄行内镜下扩张术患者的医护一体化护理查房实践经验。由护理部指导, 组建查房管理团队, 围绕现存护理问题、阶段目标、干预措施及疗效评价进行集中汇报与循证讨论; 在方案实施过程中, 整合穴位贴敷、穴位按摩等中医特色护理技术, 并辅以饮食管理、心理支持及造口护理, 形成多维度的全程干预路径。经干预, 患者腹胀腹痛缓解, 未出现其他不适症状, 回肠造口袋功能正常。医护一体化查房模式注重医护协同, 对提升护理人员的专业参与度与问题解决能力有积极意义。)