多学科团队协作护理在非瓣膜性心房颤动合并心力衰竭患者中的应用效果  

Application effect of multidisciplinary team nursing in patients with non-valvular atrial fibrillation complicated by heart failure

作　　者：熊小雪 王翔 王淼 王赛 XIONG Xiaoxue;WANG Xiang;WANG Miao;WANG Sai(Department of Cardiology,Xianning Central Hospital,Xianning,Hubei 437100,China)

机构地区：[1]咸宁市中心医院心血管内科,湖北咸宁437100

出　　处：《医药前沿》2025年第7期95-99,共5页Journal of Frontiers of Medicine

基　　金：咸宁市科学技术局项目(2021ZRKX036)。

摘　　要：目的 探讨多学科团队协作(MDT)护理在非瓣膜性心房颤动合并心力衰竭患者中的应用效果。方法 回顾性分析2020年1—12月心房颤动中心建设前和2022年1—12月心房颤动中心建设后咸宁市中心医院收治的210例非瓣膜性心房颤动合并心力衰竭患者的临床资料,将2020年1—12月心房颤动中心建设前的105例患者设为对照组,将2022年1—12月心房颤动中心建设后的105例患者设为观察组。对照组采用常规护理,观察组采用MDT护理。比较两组患者出院后第12个月用药依从性、生活质量、心房颤动症状严重程度和随访期间主要心血管不良事件(MACE)发生情况。结果 出院后第12个月,观察组8条目Morisky用药依从性量表和心房颤动患者生活质量量表-21评分高于对照组,欧洲心律协会心房颤动症状分级优于对照组(P<0.05);随访期间,观察组MACE发生率低于对照组,但两组比较差异无统计学意义(P>0.05)。结论 MDT护理能够有效提高非瓣膜性心房颤动合并心力衰竭患者的用药依从性和生活质量,减轻其心房颤动症状。Objective To investigate the application effect of multidisciplinary team(MDT)nursing in patients with non-valvular atrial fibrillation complicated by heart failure.Methods A retrospective analysis was conducted on the clinical data of 210 patients with non-valvular atrial fibrillation complicated by heart failure admitted to Xianning Central Hospital before the construction of the Atrial Ftrialibrillation Center from January to December 2020 and after the construction of the Atrial Ftrialibrillation Center from January to December 2022.The 105 patients admitted before the construction of the Atrial Fibrillation Center from January to December 2020 were assigned to the control group,while the 105 patients admitted after the construction of the Atrial Ftrialibrillation Center from January to December 2022 were assigned to the observation group.The control group received routine nursing,while the observation group received MDT nursing.The medication adherence,quality of life,severity of atrial fibrillation symptoms at the 12th month after discharge,and incidence of major adverse cardiovascular events(MACE)during follow-up were compared between the two groups.Results At the 12th month after discharge,the scores of the Morisky Medication Adherence Scale-8 and the Atrial Fibrillation Effect on Quality-Of-Life-21 were higher in the observation group than in the control group,and the European Heart Rhythm Association atrial fibrillation symptom classification was better in the observation group than in the control group(P<0.05).During the follow-up period,the incidence of MACE was lower in the observation group than in the control group,but the difference between the two groups was not statistically significant(P>0.05).Conclusions MDT nursing can effectively improve the medication adherence and quality of life of patients with non-valvular atrial fibrillation complicated by heart failure and alleviate their atrial fibrillation symptoms.

关 键 词：心房颤动 心力衰竭 多学科团队协作 护理 用药依从性 心房颤动患者生活质量量表-21 主要心血管不良事件 

分 类 号：R473[医药卫生—护理学]