多学科协作护理模式在脊柱侧弯矫正术后麻醉复苏室护理中的应用效果  

Study on the application effect of multi disciplinary team nursing model in Post-anesthesia care unit nursing for scoliosis correction surgery

作　　者：王颖 朱雅莉 陈祖棋[1] 于明帅 WANG Ying;ZHU Yali;CHEN Zuqi;YU Mingshuai(Department of Anesthesiology,Nuclear Industry 416 Hospital,Sichuan Province,Chengdu 610051,China)

机构地区：[1]核工业四一六医院麻醉科,四川成都610051

出　　处：《中国医药导报》2024年第5期165-167,192,共4页China Medical Herald

基　　金：四川省卫生健康科研项目(19PJ210)。

摘　　要：目的探究在脊柱侧弯矫正术后麻醉复苏室护理中应用多学科协作(MDT)护理模式的效果。方法选取2023年1月至5月在核工业四一六医院行脊柱侧弯矫正术患者104例为观察对象,采用随机数字表法将其分为对照组与试验组,各52例。全部患者术后均送至麻醉复苏室接受相关护理,对照组接受常规护理干预,试验组接受MDT护理模式。比较两组术后苏醒相关指标。结果试验组患者完全苏醒时间、麻醉复苏室滞留时间、拔管时间均短于对照组,差异有统计学意义(P<0.05)。苏醒后,试验组体温高于对照组,舒张压、收缩压、心率均低于对照组,差异有统计学意义(P<0.05)。试验组躁动程度、寒战程度优于对照组,差异有统计学意义(P<0.05)。结论MDT护理模式缩短苏醒时间及麻醉复苏室滞留时间,减少躁动、寒战发生,维护患者生命体征稳定。Objective To explore the application effect of multi disciplinary team(MDT)nursing model in postoperative anesthesia and resuscitation room nursing for scoliosis correction surgery.Methods A total of 104 patients who underwent scoliosis correction in Nuclear Industry 416 Hospital from January to May 2023 were selected as the observation objects,and they were divided into control group and experimental group by random number table method,with 52 cases in each group.All patients were sent to the anesthesia and resuscitation room to receive relevant nursing care,the control group received routine nursing intervention,and the experimental group received MDT nursing mode.The indexes of postoperative recovery were compared between the two groups.Results The full recovery time,post-anesthesia care unit retention time,and extubation time of experimental group were shorter than those of control group,and the differences were statistically significant(P<0.05).After awakening,the body temperature of the experimental group was higher than that of the control group,and the diastolic blood pressure,systolic blood pressure,and heart rate were lower than that of the control group,and the differences were statistically significant(P<0.05).The agitation degree and chills degree of experimental group were better than those of control group,and the differences were statistically significant(P<0.05).Conclusion The MDT care model shortens the time of awakening and post-anesthesia care unit stay,reduces the occurrence of agitation and chills,and maintains the stability of patients'vital signs.

关 键 词：多学科协作护理模式 脊柱侧弯矫正术 麻醉复苏室 复苏护理 

分 类 号：R473[医药卫生—护理学]