追踪式多学科协作团队护理查房在危重共病患者中的实践  

Practice of tracking based multidisciplinary collaborative team nursing rounds in the care of critically ill patients with comorbidities

作　　者：田金萍 王荣[2] 郑亚平[1] 卢静娴 史丽峰[1] 郑丹萍 TIAN Jinping;WANG Rong;ZHENG Yaping;LU Jingxian;SHI Lifeng;ZHENG Danping

机构地区：[1]溧阳市人民医院护理部,江苏省213300 [2]江苏省人民医院护理部

出　　处：《中华急危重症护理杂志》2025年第4期470-474,共5页Chinese Journal of Emergency and Critical Care Nursing

基　　金：江苏省医院协会医院管理创新研究重点课题(JSYGY-2-2021-50)。

摘　　要：目的总结对危重共病患者实施追踪式多学科协作团队(multidisciplinary team,MDT)护理查房的经验,为相关流程建立及临床实践提供参考。方法成立危重共病患者护理查房专项小组,分析常规护理查房中存在的问题,从会诊前组织方式、会诊过程与难点讨论、会诊后追踪管理、护理查房总结讨论等多方面优化举措;建立追踪式MDT护理查房的流程,并进行质量控制,在7个科室开展实践。结果2022年6月—2024年5月对18例危重共病患者开展追踪式MDT护理查房,患者住院时间(18.50±2.15)d短于常规护理查房组(19.72±2.08)d,失禁性皮炎发生率由30.56%降至5.56%,口腔黏膜炎发生率由19.44%降至0,护理工作满意度评分由(41.72±3.44)分提升至(47.22±2.53)分。结论采用追踪式MDT护理查房有助于缩短危重共病患者住院时间,降低护理并发症发生率,提升护理工作满意度。Objective To summarize our experience in implementing tracking based multidisciplinary team(MDT)nursing rounds for critically ill patients with comorbidities,and provide reference for related process establishment and clinical practice.Methods A nursing rounds special team for critically ill patients with comorbidities was established to analyze the problems existing in routine nursing rounds,and optimize measures from various aspects such as pre-consultation organizational methods,consultation process and difficult point discussions,post-consultation tracking management,and nursing round summary discussions.A process for tracking multidisciplinary team(MDT)nursing rounds was established and quality control was carried out,which was applied in seven departments.Results From June 2022 to May 2024,we conducted tracking based MDT nursing rounds for 18 critically ill patients with comorbidities,the length of hospital stay of critically ill patients in the experimental group[(18.50±2.15)d]was shorter than that of the routine nursing rounds group[(19.72±2.08)d].The incidence of inconti-nence dermatitis decreased from 30.56%to 5.56%,and the incidence of oral mucositis decreased from 19.44%to 0,nursing job satisfaction score increased from(41.72±3.44)points to(47.22±2.53)points.Conclusion The application of tracking based MDT nursing rounds can shorten the hospitalization time of critically ill patients with comorbidities and reduce the incidence of nursing related complications,improve satisfaction with nursing care.

关 键 词：追踪式MDT护理查房 危重共病患者 护理实践 效果评价 

分 类 号：R473.5[医药卫生—护理学]