多学科团队协作管理模式对主动脉瓣膜置换术患者的意识状态及配合程度的影响  

Influence of multidisciplinary teamwork management mode on the awareness state and cooperation degree of patients undergoing aortic valve replacement

作　　者：赵再仙 安春秀 李娜 姜黎黎 ZHAO Zai-xian;AN Chun-xiu;LI Na;JIANG Li-li(Department of Cardiology,First Medical Center of General Hospital of Chinese PLA,Beijing,100853,China)

机构地区：[1]中国人民解放军总医院第一医学中心心血管内科,北京100853

出　　处：《心血管康复医学杂志》2024年第2期193-197,共5页Chinese Journal of Cardiovascular Rehabilitation Medicine

摘　　要：目的:探讨多学科团队协作管理模式对主动脉瓣膜置换术患者的意识状态及配合程度的影响。方法:于2020年8月~2022年8月中国人民解放军总医院第一医学中心收治的主动脉瓣膜置换术患者200例,随机分为常规组(n=100,常规治疗和护理)和干预组(n=100,采用多学科团队协作管理模式进行治疗和护理),两组均干预1个月。比较两组干预前后左室射血分数(LVEF)、左室舒张末内径(LVEDd)、左室收缩末内径(LVESd)、西雅图心绞痛量表(SAQ)、格拉斯哥昏迷量表(GCS)评分,以及并发症情况、配合度、护理满意度。结果:干预后,与常规组相比,干预组LVEF[(45.63±6.88)%比(50.40±5.33)%]、SAQ各维度分、GCS评分[(11.21±1.87)分比(13.08±1.09)分]均显著升高,LVEDd[(51.94±5.03)mm比(48.92±6.92)mm]、LVESd[(28.40±3.85)mm比(26.89±3.17)mm]显著减小,P均<0.01。与常规组比较,干预组并发症总发生率(10.0%比3.0%)显著降低,配合度(71.0%比93.0%)和护理满意度(71.0%比92.0%)显著升高,P<0.05或<0.01。结论:多学科团队协作管理可以显著改善主动脉瓣膜置换术患者的心功能和生活质量,改善患者的意识状态及对治疗的配合程度和满意度,值得临床推广。Objective:To explore the influence of multidisciplinary teamwork management mode on the awareness state and cooperation degree of patients undergoing aortic valve replacement.Methods:A total of 200 patients undergoing aortic valve replacement treated in First Medical Center of General Hospital of Chinese PLA from August 2020 to August 2022,were randomly divided into routine group(n=100,routine treatment and nursing)and intervention group(n=100,received treatment and nursing based on multidisciplinary teamwork management mode),both groups were intervened for one month.Left ventricular ejection fraction(LVEF),left ventricular end diastolic diameter(LVEDd),left ventricular end systolic diameter(LVESd),scores of Seattle angina questionnaire(SAQ),Glasgow coma scale(GCS)before and after intervention,and incidence of complications,cooperation and nursing satisfaction were compared between two groups.Results:After intervention,compared with routine group,there were significant rise in LVEF[(45.63±6.88)%vs.(50.40±5.33)%],all dimensional scores of SAQ,GCS score[(11.21±1.87)points vs.(13.08±1.09)points],and significant reductions in LVEDd[(51.94±5.03)mm vs.(48.92±6.92)mm],LVESd[(28.40±3.85)mm vs.(26.89±3.17)mm]in intervention group,P<0.01 all.Compared with routine group,there was significant reduction in total incidence rate of complications(10.0%vs.3.0%),and significant rise in cooperation(71.0%vs.93.0%)and nursing satisfaction(71.0%vs.92.0%)in intervention group,P<0.05 or<0.01.Conclusion:Multidisciplinary teamwork management can significantly improve cardiac function,quality of life,awareness state,cooperation degree and satisfaction in patients undergoing aortic valve replacement,which is worthy of clinical promotion.

关 键 词：心脏瓣膜疾病 护理 心室功能 左 格拉斯哥昏迷量表 

分 类 号：R542.5[医药卫生—心血管疾病]