MDT模式联合多感官促醒应用于多发伤围手术期患者的效果  

Effect of MDT Mode Combined with Multi Sensory Wake-up Promotion on Perioperative Patients with Multiple Injuries

作　　者：刘燃 赵伟 付瑜 LIU Ran;ZHAO Wei;FU Yu(Department of Critical Medicine,Longhua District People’s Hospital,Shenzhen,Guangdong,518100;Department of Medical Laboratory,Shenzhen Hospital,Guangzhou University of Traditional Chinese Medicine of Futian District,Shenzhen,Guangdong,518034)

机构地区：[1]广东省深圳市龙华区人民医院重症医学科,广东深圳518100 [2]广东省深圳市福田区广州中医药大学深圳医院医学检验科,广东深圳518034

出　　处：《智慧健康》2022年第29期227-231,共5页Smart Healthcare

摘　　要：目的探讨多学科协作(multidisciplinary cooperation,MDT)模式联合多感官促醒应用于多发伤围手术期患者的效果。方法按照随机数字表法将本院2020年1月-2021年9月期间收治的85例多发伤围手术期患者分为观察组和对照组,对照组42例予以常规护理干预,观察组43例在对照组基础上予以MDT模式联合多感官促醒干预,观察两组患者苏醒状况、意识障碍程度以及脑生理状态。结果干预1个月后,观察组苏醒总有效率(86.05%)高于对照组(66.67%)(P<0.05);观察组意识障碍程度轻于对照组(P<0.05);干预前,两组功能障碍评分(DRS)各维度评分及总分对比差异无统计学意义(P>0.05),干预1个月后,两组均降低,且观察组低于对照组(P<0.05)。结论MDT模式联合多感官促醒应用于多发伤围手术期患者可以提高苏醒率,减轻意识障碍程度,改善脑部生理状态。Objective To explore the effect of multidisciplinary cooperation(MDT)mode combined with multi sensory wake-up promotion in perioperative patients with multiple injuries.Methods According to the random number table method,85 perioperative patients with multiple injuries treated in our hospital from January 2020 to September 2021 were divided into observation group and control group.42 cases in the control group were given routine nursing intervention,and 43 cases in the observation group were given MDT mode combined with multi sensory wake-up intervention on the basis of the control group.The awakening status,degree of consciousness disorder and brain physiological state of the two groups were observed.Results After one month of intervention,the total effective rate of recovery in the observation group(86.05%)was higher than that in the control group(66.67%)(P<0.05);the degree of consciousness disorder in the observation group was lighter than that in the control group(P<0.05);before the intervention,there was no significant difference in the scores of all dimensions and total scores of dysfunction score(DRS)between the two groups(P>0.05).After one month of intervention,both groups decreased,and the observation group was lower than the control group(P<0.05).Conclusion MDT mode combined with multi sensory wake-up promotion can improve the recovery rate,reduce the degree of consciousness disturbance and improve the physiological state of the brain.

关 键 词：多发伤围手术期 多学科协作 多感官促醒 意识障碍 

分 类 号：R473.6[医药卫生—护理学]