多学科团队协作模式预防危重症患者失禁相关性皮炎的效果分析  

Effect Analysis of Multidisciplinary Team Model on Prevention of FIncontinence-Associated Dermatitis in Critically Ill Patients

作　　者：麦丽红 梁洁萍[1] 谢书芬[1] 谭家香[1] 黄凯敏 张丽欢 Mai Lihong;Liang Jieping;Xie Shufen;Tan Jiaxiang;Huang Kaimin;Zhang Lihuan(Kaiping Central Hospital,Kaiping 529300,Guangdong Province,China)

机构地区：[1]开平市中心医院,广东开平529300

出　　处：《中国社区医师》2024年第1期114-116,共3页Chinese Community Doctors

基　　金：2022年度江门市卫生健康局科研立项(编号:22A083)。

摘　　要：目的:探讨多学科团队协作(MDT)模式预防危重症患者失禁相关性皮炎(IAD)的效果。方法:选取2022年4月—2023年10月开平市中心医院ICU收治的60例危重症患者作为研究对象,采用随机数字表法分为两组,各30例。对照组采用常规护理,试验组采用MDT模式护理。比较两组护理效果。结果:试验组IAD发生率低于对照组,差异有统计学意义(P=0.020)。护理前,两组视觉模拟评分法(VAS)评分比较,差异无统计学意义(P>0.05);护理后,两组VAS评分均低于护理前,且试验组低于对照组,差异有统计学意义(P<0.05)。试验组住院费用低于对照组,住院时间短于对照组,差异有统计学意义(P<0.05)。试验组护理满意度高于对照组,差异有统计学意义(P=0.044)。结论:MDT模式预防危重症患者IAD的效果理想,能够降低IAD发生率,减轻疼痛感,减少住院费用,缩短住院时间,提高患者满意度。Objective:To investigate the effect of multidisciplinary team(MDT)model on the prevention of incontinenceassociated dermatitis(IAD)in critically ill patients.Methods:A total of 60 critically ill patients admitted to the ICU of Kaiping Central Hospital from April 2022 to October 2023 were selected as the study subjects.They were divided into two groups according to random number table method,with 30 cases in each group.The control group received conventional nursing and the experimental group received MDT model nursing.The nursing effect was compared between the two groups.Results:The incidence of IAD in the experimental group was lower than that in the control group,and the difference was statistically significant(P=0.020).Before nursing,there was no significant difference in the Visual Analogue Scale(VAS)scores between the two groups(P>0.05);After nursing,the VAS scores in two groups were lower than those before nursing,and the scores in the experimental group were lower than those in the control group,with a statistically significant difference(P<0.05).The hospitalization cost in the experimental group was lower than that in the control group,and the length of hospital stay in the experimental group was shorter than that in the control group,and the difference was statistically significant(P<0.05).The nursing satisfaction in the experimental group was higher than that in the control group,and the difference was statistically significant(P=0.044).Conclusion:MDT model has ideal effects on the prevention of IAD in critically ill patients,and can reduce the incidence of IAD,relieve pain,reduce hospitalization cost,shorten the length of hospital stay,and improve patient satisfaction.

关 键 词：失禁相关性皮炎 多学科团队协作 危重症 

分 类 号：R473[医药卫生—护理学]