多学科团队协作在心血管急危重症患者院际转运中的应用研究

The application of multidisciplinary team collaboration in inter-hospital transport of patients with acute and critical cardiovascular diseases

目的:探讨多学科团队协作在心血管急危重症患者院际转运中的应用效果。方法:选取院际转运的180例心血管急危重症患者为研究对象,2018年7月至2019年6月以常规院际转运模式转运的90例患者为对照组,2019年7月至2020年6月开展多学科团队协作院际转运模式转运的90例患者为观察组。比较两组平均转运时间、不良事件发生率、转运成功率和转运满意度的差异。结果:观察组转运反应时间短于对照组、现场评估救治时间长于对照组,差异有统计学意义(P<0.05);观察组前往目的地时间、返回时间与对照组相比,差异无统计学意义(P>0.05);两组不良事件发生率、转运成功率和患者/家属转运满意度比较差异有统计学意义(P<0.01)。结论:基于多学科团队协作所构建的院际转运模式可以有效缩短心血管急危重症患者院际转运反应时间,为现场评估及救治赢得更充足的时间,减少转运不良事件的发生率,提高转运成功率和转运满意度,为推行心血管急危重症患者院际转运模式提供参考。

Objective:To explore the effect of multidisciplinary team collaboration in inter-hospital transport of patients with acute and critical cardiovascular diseases.Methods:A total of 180 patients with acute and critical cardiovascular diseases were selected and 90 patients who received routine inter-hospital transport model from July 2018 to June 2019 were selected as the control group,while another 90 patients who received the multidisciplinary team collaboration in inter-hospital transport from July 2019 to June 2020 were selected as the observation group.The average transport time,incidence of adverse events,transport success rate and transport satisfaction were compared between the two groups.Results:The transport reaction time of the observation group was significantly lower than that of the control group,while the evaluation and treatment time on-site was significantly higher than that of the control group(P<0.05).The time to destination and the time to return were not statistically different between the two groups(P>0.05).The incidence of adverse events,success rate of transport and patient/family transport satisfaction were significantly different between the two groups(P<0.01).Conclusion:The multidisciplinary team collaboration can effectively shorten the transport reaction time in inter-hospital transport of patients with acute and critical cardiovascular diseases,win more time for the assessment and treatment and reduce the incidence of adverse events during transportation,meanwhile,improve the success rate of transport and the degree of satisfaction.It provides reference for implementing the new inter-hospital transport model in patients with acute and critical cardiovascular diseases.