基于多学科协作的护理模式对心脏外科手术患者心肺功能及希望水平的影响

Influences of nursing model based on multi-disciplinary team on cardiopulmonary function and hope level of patients undergoing cardiac surgery

目的研究基于多学科协作(MDT)的护理模式对心脏外科手术患者心肺功能及希望水平的影响。方法纳入2020年2月至7月宝鸡市中心医院收治的48例心脏外科手术患者作为传统组,2020年8月至2021年1月收治的48例心脏外科手术患者作为MDT组。传统组入院后行常规护理,MDT组在传统组的基础上开展基于MDT的护理模式。比较两组的护理效果。结果MDT组的住院时间、重症监护病房(ICU)入住时间、拔管时间短于对照组,2 min踏步次数多于传统组,并发症发生率低于传统组(P<0.05)。出院后4周,两组的最大摄氧量(VO2max)、最大代谢当量(Metsmax)、左心室射血分数(LVEF)、希望水平评分均升高,最大心率(HRmax)下降,且MDT组优于传统组(P<0.05)。结论基于MDT的护理模式应用于心脏外科手术患者中的效果显著。

Objective To study the influences of nursing model based on multi-disciplinary team(MDT)on cardiopulmonary function and hope level of patients undergoing cardiac surgery.Methods Forty-eight patients undergoing cardiac surgery admitted in Baoji Central Hospital from February to July 2020 were included as traditional group,and 48 patients undergoing cardiac surgery from August 2020 to January 2021 were included as MDT group.The traditional group received routine nursing after admission,and the MDT group received nursing model based on MDT on the basis of the traditional group.The nursing effects of the two groups were compared.Results The hospital stay,intensive care unit(ICU)check-in time and extubation time in the MDT group were shorter than those in the control group,the number of 2 min steps was more than that in the traditional group,and the incidence of complications was lower than that in the traditional group(P<0.05).At 4 weeks after discharge,maximum oxygen consumption(VO2max),metabolic equivalents max(Metsmax),left ventricular ejection fraction(LVEF)and hope level scores in both groups increased,while maximum heart rate(HRmax)decreased,and those in the MDT group were better than the traditional group(P<0.05).Conclusion The nursing model based on MDT applied in patients undergoing cardiac surgery has a significant effect.