多学科团队协作护理干预对主动脉夹层介入术后患者的康复效果评价  

Evaluation of the Rehabilitation Effect of Multidisciplinary Team Collaborative Nursing Intervention on Patients after Aortic Dissection Intervention

作　　者：陈晓菁 徐巧荔 彭华芬 CHEN Xiaojing;XU Qiaoli;PENG Huafen(Department of Intervention,Putian Fifth Hospital,Putian,Fujian Province,351100 China)

机构地区：[1]莆田市第五医院介入科,福建莆田351100

出　　处：《中外医疗》2024年第2期125-128,133,共5页China & Foreign Medical Treatment

摘　　要：目的探究多学科团队(Multidisciplinary Team,MDT)协作下的护理干预对主动脉夹层介入术后患者的康复效果。方法随机选取2020年1月—2022年1月期间于莆田市第五医院住院的80例行主动脉夹层介入术的患者为研究对象。将2020年1月—2021年1月入院的38例患者列为常规组,术后予以常规护理;2021年2月—2022年1月入院的42例患者列为MDT组,术后予以MDT护理。比较两组患者术后的康复进程、世界卫生组织生存质量量表简表(Quality of Life Scale-BREF,QOL-BREF)评分和并发症发生差异。结果MDT组患者术后下床时间、住院时间均短于常规组,差异有统计学意义(P均<0.05)。干预后MDT组和常规组的QOL-BREF评分均高于干预前,且MDT组高于常规组,差异有统计学意义(P均<0.05)。术后MDT组患者的并发症发生率为4.76%,低于常规组的21.05%,差异有统计学意义(χ^(2)=4.841,P<0.05)。结论MDT协作下的护理干预在主动脉夹层介入术后患者中应用,有利于患者康复进程,提高生存质量,降低并发症风险。Objective To investigate the rehabilitation effect of nursing intervention under multidisciplinary team(MDT)collaboration on patients after aortic dissection intervention.Methods 80 patients hospitalized in Putian Fifth Hospital who underwent aortic dissection intervention between January 2020 and January 2022 were randomly selected as the study subjects.38 patients admitted from January 2020 to January 2021 were classified as the conventional group and were given conventional care after surgery,and 42 patients admitted from February 2021 to January 2022 were classified as the MDT group and were given MDT care after surgery.The rehabilitation process,World Health Organization Quality of Survival Scale-BREF(QOL-BREF)score and complication occurred in the two groups were compared.Results The postoperative time out of bed and hospitalization time of patients in the MDT group were shorter than those in the conventional group,and the differences were statistically significant(both P<0.05).The QOL-BREF scores of both the MDT group and the conventional group were higher than those before intervention,and the MDT group was higher than the conventional group,and the differences were statistically significant(all P<0.05).The complication rate of patients in the postoperative MDT group was 4.76%,which was lower than that of 21.05%in the conventional group,and the difference was statistically significant(χ^(2)=4.841,P<0.05).Conclusion The application of nursing interventions under MDT collaboration in post-interventional patients with aortic dissection interventions is conducive to the recovery process of the patients,improves the quality of survival,and reduces the risk of complications.

关 键 词：多学科团队协作护理 主动脉夹层介入术 康复进程 生存质量 并发症 

分 类 号：R47[医药卫生—护理学]