儿童肺移植患儿术后监护治疗期的多学科团队护理

Multidisciplinary team-based nursing for pediatric lung transplant recipients during postoperative intensive care period

目的总结9例儿童肺移植患儿术后监护治疗期的多学科团队护理经验。方法组建多学科团队,落实精准用药、精准容量管理、术后感染控制、营养护理、心理干预、气道管理、个性化镇痛镇静等护理措施。结果9例患儿ICU住院2~21 d,中位数4 d,均顺利转出ICU;病房住院13~149 d,中位数16 d。患儿均康复出院,随访期间无一例死亡。结论基于多学科团队的护理,可以提高肺移植患儿术后护理水平,提高肺移植患儿长期生存率。

Objective To summarize experience of multidisciplinary teamwork based nursing care of 9 pediatric lung transplant reci-pients during postoperative monitoring period.Methods A multidisciplinary team was established to implement precise medication and volume management, postoperative infection control, nutritional nursing, psychological intervention, airway management, and individualized analgesia and sedation.Results Nine children stayed in ICU for 2 to 21 d, with a median of 4 d.All were successfully discharged from ICU and had a stay of 13 to 149 d(median: 16 d) in the general ward.All children recovered and no deaths were reported during follow-up.Conclusion Multidisciplinary team-based care can improve the level of postope-rative care and long-term survival of children with lung transplantation.