The DOI matches its Crossref record; the references it cites are not checked yet.
Impact of nursing interventions based on a multidisciplinary team (MDT) model on recurrence rate and treatment compliance in patients with gastrointestinal bleeding
Abstract
This study aimed to investigate the impact of nursing interventions based on a multidisciplinary team (MDT) model on recurrence rate and treatment compliance in patients with gastrointestinal bleeding (GIB). A retrospective cohort study was conducted, enrolling 211 patients with acute GIB admitted from June 2022 to June 2024. Patients were divided into 2 groups according to whether they received MDT nursing care. Propensity score matching was used to control confounding bias, and a total of 96 patients (48 in the MDT group and 48 in the routine nursing group) were included in the analysis. The MDT nursing model consisted of team collaboration, joint ward rounds, staged health education, and continuity follow-up after discharge. Recurrence rate, treatment compliance, length of hospital stay, complications, and satisfaction during the 3-month follow-up period were compared between the 2 groups. After matching, baseline characteristics were balanced and comparable between the 2 groups (all P > .05). The MDT group had significantly lower recurrence rate (12.5% vs 33.3%, risk ratio = 0.38, 95% confidence interval: 0.16–0.85) and overall complication rate (12.5% vs 29.2%) compared with the routine care group (both P < .05). The MDT group also showed significantly better medication compliance (83.3% vs 58.3%, odds ratio [OR] = 3.57), dietary compliance (77.1% vs 54.2%, OR = 2.83), and follow-up compliance (85.4% vs 66.7%, OR = 2.91) (all P < .05). Meanwhile, the MDT group had a shorter average hospital stay (9.2 ± 3.1 vs 11.0 ± 3.8 days, P = .013), and higher overall satisfaction (91.7% vs 75.0%) and care experience scores (9.1 ± 0.8 vs 8.2 ± 1.1) (all P < .05). Subgroup analysis showed that the risk-reducing effect of MDT nursing on recurrence was more pronounced in patients aged ≥65 years and those with upper GIB (interaction P < .05). Nursing interventions based on the MDT model effectively reduce recurrence risk, improve treatment compliance, shorten hospital stay, decrease complications, and enhance patient satisfaction in patients with GIB. Its comprehensive benefits are significantly superior to routine nursing, with particularly greater advantages in elderly patients and those with upper gastrointestinal bleeding.
Overview
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Citations
The citation lists haven’t been fetched yet
Research works printed but not linked: 21
- Saydam, 2023, The global epidemiology of upper and lower gastrointestinal bleeding in general population: a systematic review., World J Gastrointest Surg, 15, 723, 10.4240/wjgs.v15.i4.723 · DOI
- Biecker, 2015, Diagnosis and therapy of non-variceal upper gastrointestinal bleeding., World J Gastrointest Pharmacol Ther, 6, 172, 10.4292/wjgpt.v6.i4.172 · DOI
- El Hajj, 2021, Prognosis of variceal and non-variceal upper gastrointestinal bleeding in already hospitalised patients: Results from a French prospective cohort., United European Gastroenterol J, 9, 707, 10.1002/ueg2.12096 · DOI
- Goldstein, 2006, Impact of adherence to concomitant gastroprotective therapy on nonsteroidal-related gastroduodenal ulcer complications., Clin Gastroenterol Hepatol, 4, 1337, 10.1016/j.cgh.2006.08.016 · DOI
- Jin, 2016, Factors affecting medication adherence in elderly people., Patient Prefer Adherence, 10, 2117, 10.2147/PPA.S118121 · DOI
- Amjad, 2016, Continuity of care and health care utilization in older adults with dementia in fee-for-service medicare., JAMA Intern Med, 176, 1371, 10.1001/jamainternmed.2016.3553 · DOI · Paper page
- Veitch, 2021, Endoscopy in patients on antiplatelet or anticoagulant therapy: British Society of Gastroenterology (BSG) and European Society of Gastrointestinal Endoscopy (ESGE) guideline update., Gut, 70, 1611, 10.1136/gutjnl-2021-325184 · DOI
- Garcia-Tsao, 2017, Portal hypertensive bleeding in cirrhosis: risk stratification, diagnosis, and management: 2016 practice guidance by the American Association for the Study of Liver Diseases., Hepatology, 65, 310, 10.1002/hep.28906 · DOI · Paper page
- Kesson, 2012, Effects of multidisciplinary team working on breast cancer survival: retrospective, comparative, interventional cohort study of 13 722 women., BMJ, 344, e2718, 10.1136/bmj.e2718 · DOI · Paper page
- Wuyts, 2025, A systematic review of outcomes reported in studies to optimise the medication use of patients at hospital discharge., BMC Health Serv Res, 25, 135, 10.1186/s12913-024-12024-6 · DOI
- Wang, 2021, Effect of multidisciplinary team care on the management of cirrhotic patients with upper gastrointestinal bleeding: a retrospective cohort study., Ann Palliat Med, 10, 3050, 10.21037/apm-21-85 · DOI
- Mellinger, 2013, Multidisciplinary management of patients with cirrhosis: a need for care coordination., Clin Gastroenterol Hepatol, 11, 217, 10.1016/j.cgh.2012.10.040 · DOI
- Ai, 2021, A randomised controlled trial: effect of the meticulous nursing model on the treatment compliance and quality of life of patients with upper gastrointestinal bleeding., Ann Palliat Med, 10, 8737, 10.21037/apm-21-1283 · DOI
- Hu, 2024, An evidence-based nursing practice affects stress state, coagulation, complications and quality of life in patients with upper gastrointestinal bleeding in the emergency department: a retrospective observational study., BMC Gastroenterol, 24, 435, 10.1186/s12876-024-03507-1 · DOI
- Snow, 2020, Patient outcomes following interhospital care fragmentation: a systematic review., J Gen Intern Med, 35, 1550, 10.1007/s11606-019-05366-z · DOI
- Turbow, 2024, Care fragmentation and readmission mortality and length of stay before and during the COVID-19 pandemic: data from the National Readmissions Database, 2018–2020., BMC Health Serv Res, 24, 622, 10.1186/s12913-024-11073-1 · DOI
- Campbell, 2015, Costs and quality of life associated with acute upper gastrointestinal bleeding in the UK: cohort analysis of patients in a cluster randomised trial., BMJ Open, 5, e007230, 10.1136/bmjopen-2014-007230 · DOI
- Wilkins, 2020, Upper gastrointestinal bleeding in adults: evaluation and management., Am Fam Physician, 101, 294
- Bitar, 2022, The risk factors for the recurrent upper gastrointestinal hemorrhage among acute peptic ulcer disease patients in Syria: a prospective cohort study., Ann Med Surg (Lond), 74, 103252
- Vara-Luiz, 2025, Upper gastrointestinal bleeding differences between older and younger adults: should bleeding in non-cirrhotic patients be considered a geriatric syndrome?, Ther Adv Gastroenterol, 18, 17562848251343416, 10.1177/17562848251343416 · DOI
- Checchi, 2014, Electronic medication packaging devices and medication adherence: a systematic review., JAMA, 312, 1237, 10.1001/jama.2014.10059 · DOI
Metadata
- Authors
- Wang, K., & Sun, P.
- Venue
- Medicine
- Published
- 2026-06-19
- Volume
- 105
- Issue
- 25
- Pages
- e49067
- ISSN
- 0025-7974
- 1536-5964
- Cited by
- 0
- Language
- en
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
How to cite
Cite CoChat for the checks on this page, and the paper for its own findings.
- This page
- CoChat. (2026). Citation check: Impact of nursing interventions based on a multidisciplinary team (MDT) model on recurrence rate and treatment compliance in patients with gastrointestinal bleeding. https://app.cochat.ai/papers/10.1097/md.0000000000049067
- The paper
- Wang, K., & Sun, P. (2026). Impact of nursing interventions based on a multidisciplinary team (MDT) model on recurrence rate and treatment compliance in patients with gastrointestinal bleeding. Medicine. https://doi.org/10.1097/md.0000000000049067
Data sources
Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
