Effectiveness of an Integrated Nursing Intervention by Physicians and Nurses in Improving Outcomes for Patients with Lower Extremity Deep Vein Thrombosis

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Abstract

Background : Traditional nursing models typically emphasize unilateral interventions within isolated medical domains, which may inadvertently constrain holistic patient management. In contrast, the integrated physician-nurse collaborative model synergizes the distinct expertise of both professions, aiming to enhance comprehensive care outcomes through interdisciplinary coordination. By optimizing interprofessional communication, reinforcing real-time disease surveillance, and implementing tailored nursing strategies, this integrated approach demonstrates significant potential in improving thrombosis management across the continuum of care—from prevention and acute treatment to long-term follow-up. Objective : To investigate the efficacy of a physician-nurse integrated nursing model in optimizing hospitalization outcomes and accelerating rehabilitation for patients with lower extremity deep vein thrombosis undergoing vascular surgical management. Methods : A retrospective cohort study was conducted to analyze clinical data from patients diagnosed with lower extremity deep vein thrombosis (LEDVT) at our institution between June 2023 and June 2024. Among 123 initially screened cases, 100 eligible patients (56 males and 44 females) were enrolled and randomly allocated to either the intervention group (receiving physician-nurse collaborative integrated nursing) or the control group (receiving standard nursing care) in a 1:1 ratio. The primary outcomes included length of hospital stay, total hospitalization costs, and patient satisfaction with clinical services, which were compared between groups using statistical analysis to evaluate the efficacy and scientific validity of the integrated nursing model. Results : The analysis demonstrated that the experimental group exhibited a significantly shorter hospital stay than the control group (19.26±3.37 days vs. 21.44±3.44 days; P<0.05). Hospitalization expenses in the experimental group were also significantly lower than those in the control group (P<0.05). Patient satisfaction with the diagnosis and treatment process was higher in the experimental group compared to the control group. Furthermore, nursing staff in the experimental group achieved significantly higher skill assessment scores than their counterparts in the control group (P<0.05). Conclusion : The physician-nurse collaborative integrated nursing model demonstrates superior efficacy for inpatient care compared to conventional nursing approaches.

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