基于多学科团队协作模式的延续性护理在肺气肿患者中的效果观察

Observation on the Effect of Continuous Nursing Based on Multidisciplinary Team Cooperation Model in Patients with Emphysema

目的研究基于多学科团队协作(multidisciplinary team,MDT)模式的延续性护理在肺气肿患者中的应用效果。方法选择2018年11月—2021年10月在邹城市人民医院接受治疗的肺气肿患者97例,随机分为对照组48例和观察组49例。对照组采用常规护理,观察组采用基于MDT模式的延续性护理,比较两组干预前后心理状态[焦虑自评量表(self-rating anxiety scale,SAS)、抑郁自评量表(self-rating depression scale,SDS)]、健康行为[健康行为自评量表(self-rated abilities for health practices scale,SRAHP)各项评分]、自护能力[自我护理能力量表(exercise of self-care agency scale,ESCA)各项评分]的变化情况,并评估两组满意度。结果干预后,观察组SRAHP量表和ESCA量表各项评分高于对照组,而SAS、SDS评分低于对照组,差异有统计学意义(P<0.05);观察组满意度为97.96%高于对照组的83.33%,差异有统计学意义(P<0.05)。结论基于MDT模式的延续性护理可有效改善肺气肿患者心理状态,促进肺功能恢复,改善健康行为,提升自护能力,改善护患关系,具有进一步推广价值。

Objective To study the effect of continuous nursing based on multidisciplinary team cooperation(multidisciplinary team,MDT)model in patients with emphysema.Methods Retrospective analysis was made on the clinical data of 97 patients with emphysema who were treated in our hospital from November 2018 to October 2021,and they were divided into two groups according to the intervention plan.The control group(48 cases)received routine nursing care,while the study group(49 cases)received continuous nursing care based on MDT mode.Compare the mental state of the two groups before and after intervention[self-rating anxiety scale(SAS),self-rating depression scale,(SDS)],changes of health behavior[self-rated abilities for health practices scale(SRAHP)]and self-care ability[exercise of self-care agency scale(ESCA)],and evaluate the satisfaction of the two groups.Results After the intervention,the scores of SRAHP and ESCA in the study group were significantly higher,while the scores of SAS and SDS in the study group were significantly lower compared to control group(P<0.05).The satisfaction of the study group(97.96%)was significantly higher than that of the control group(83.33%)(P<0.05).Conclusion Continuous nursing with MDT mode can effectively improve the psychological state of emphysema patients,promote the recovery of lung function,improve health behavior,enhance self-care ability,and improve the nurse patient relationship.It has significant advantages and further promotion value.