多学科团队协作护理模式对体外膜肺氧合患者的影响  

The effect of multidisciplinary team collaborative nursing model on patients with extracorporeal membrane oxygenation

作　　者：鲁玉凤[1] 范冬梅 郭林[1] 张传发 段志胜 王凤珍[1] 叶婷 刘子由[1] LU Yufeng;FAN Dongmei;GUO Lin;ZHANG Chuanfa;DUAN Zhisheng;WANG Fengzhen;YE Ting;LIU Ziyou(The First Affi liated Hospital of Gannan Medical College,Ganzhou,341000,China)

机构地区：[1]赣南医学院第一附属医院重症医学科二区(心脏ICU),江西省赣州市341000

出　　处：《护理实践与研究》2022年第13期2019-2023,共5页Nursing Practice and Research

基　　金：赣州市指导性科技计划项目(编号:GZ2020ZSF008)。

摘　　要：目的 探讨多学科团队协作护理模式对体外膜肺氧合患者的影响。方法 选取2020年1月-2021年12月医院应用体外膜肺氧合救治的急危重症患者53例为研究对象,按照组间基本特征具有可比性的原则分为对照组23例和观察组30例。对照组实施常规护理,观察组在此基础上采用多学科团队协作护理模式干预。比较两组患者不良事件发生率、生活质量与护理满意度。结果 多学科团队协作护理模式干预后,观察组患者心律失常、躁动、压疮等不良事件发生率低于对照组,生活质量评分高于对照组,对护理满意度高于对照组,上述各项指标组间比较差异均有统计学意义(P<0.05)。结论 对体外膜肺氧合患者采取多学科团队协作护理模式,可降低不良事件发生率,提高患者生活质量和护理满意程度。Objective To explore the effect of multidisciplinary team collaborative nursing model on patients with extracorporeal membrane oxygenation(ECMO). Methods From January 2020 to December 2021, 53cases of acute and critical patients treated by ECMO were selected as the study subjects, they were divided into a control group(n=23) and an observation group(n=30) according to the principle of comparability of basic characteristics between groups. The control group was given the routine nursing, and the observation group was given the multidisciplinary teamwork nursing intervention. The incidence of adverse events, quality of life and nursing satisfaction were compared between the two groups. Results After the intervention of multidisciplinary team collaborative nursing model, the incidence of adverse events such as arrhythmia, agitation and pressure sore in the observation group was lower than the control group, the score of quality of life was higher than the control group, and the nursing satisfaction was higher than the control group the differences of the above indicators among groups were statistically significant(P<0.05). Conclusion Multidisciplinary team collaborative nursing model for ECMO patients could reduce the incidence of adverse events, improve the quality of life and nursing satisfaction of patients.

关 键 词：多学科团队协作 体外膜肺氧合 生活质量 护理满意度 

分 类 号：R473.5[医药卫生—护理学]