Objective:To investigate the effectiveness of applying a multidisciplinary collaborative model for the diagnosis and treatment of patients with vertigo.Methods:The study was carried out in Xianyang Hospital of Yan’an...Objective:To investigate the effectiveness of applying a multidisciplinary collaborative model for the diagnosis and treatment of patients with vertigo.Methods:The study was carried out in Xianyang Hospital of Yan’an University,in which 100 patients with vertigo were selected from April 2021 to April 2022 and were divided into two groups:the control group was under the single diagnosis and treatment model,whereas the experimental group was under the multidisciplinary collaborative diagnosis and treatment model,with 50 cases in each group.The diagnostic effects of the two groups were compared.Results:The diagnostic and therapeutic efficiency of the patients in the experimental group were 94%and 98%,respectively,while those of the patients in the control group were 78%and 82%,respectively,with a significant difference between the two groups(p<0.05).The balance scores of the patients in both groups were low before the treatment,in which the difference was not significant(p>0.05);after the treatment,the scores improved,with those of the patients in the experimental group being significantly higher than those in the control group(p<0.05).Moreover,the satisfaction rate of patients in the experimental group(98%)was significantly higher than that of the control group(80%)(p<0.05).Conclusion:The application of the multidisciplinary collaborative diagnosis and treatment model in the diagnosis of patients with vertigo is effective.The multidisciplinary model can improve clinical diagnosis,enhance the treatment effect,improve the clinical symptoms of patients,and increase the satisfaction of patient care.Hence,it is of high clinical application value.展开更多
目的探究在神经病学临床实习教学中实施多学科诊疗(Multidisciplinary Diagnosis and Treatment,MDT)模式下问题为导向(Problem-based Learning,PBL)教学法的效果。方法选取2023年1—12月东台市人民医院神经病学科的60名规培生为研究对...目的探究在神经病学临床实习教学中实施多学科诊疗(Multidisciplinary Diagnosis and Treatment,MDT)模式下问题为导向(Problem-based Learning,PBL)教学法的效果。方法选取2023年1—12月东台市人民医院神经病学科的60名规培生为研究对象,以教学方法的不同分为观察组、参照组,各30名。参照组行PBL教学法,观察组行MDT模式下PBL教学法。比较两组带教前后的考核成绩(理论知识和实践能力)、临床工作能力(自学能力、临床分析能力、临床思维能力及团队合作能力)及带教满意程度。结果观察组的考核成绩、临床工作能力及带教满意程度均高于参照组,差异有统计学意义(P均<0.05)。结论MDT模式下PBL教学法能够改善神经病学临床实习教学中规培生考核成绩,改善临床工作能力,提高带教满意程度。展开更多
目的分析多学科诊疗模式(Multidisciplinary-Treatment-Model,MDT)在慢性创面护理中的临床效果。方法选取莆田市第一医院烧伤整形科在2022年6月-2023年6月收治的331例慢性创面患者进行分析,对其实施MDT护理,评估所有患者临床数据。结果...目的分析多学科诊疗模式(Multidisciplinary-Treatment-Model,MDT)在慢性创面护理中的临床效果。方法选取莆田市第一医院烧伤整形科在2022年6月-2023年6月收治的331例慢性创面患者进行分析,对其实施MDT护理,评估所有患者临床数据。结果331例患者中,愈合时间为(17.88±2.26)d、换药次数为(4.02±1.12)次、创面深度为(0.85±0.26)cm、创面面积为(2.58±0.41)cm^(2)。331例患者干预第7 d VAS、HAMA、HAMD评分均低于干预前(P<0.05);331例患者干预第7 d的IL-4、TNF-a、IL-1β指标均低于干预前(P<0.05)。结论MDT在慢性创面护理中的临床应用可以显著改善患者的治疗效果,缩短愈合时间,并且有效控制疼痛感受,是一种值得推广和应用的治疗策略。展开更多
目的探讨我国三级肿瘤医院多学科诊疗(multidisciplinary diagnosis and treatment,MDT)模式执行问题。方法运用史密斯模型,从理想化政策、执行机构、目标群体以及环境因素分析我国三级肿瘤医院MDT模式执行现状。结果在推动医院高质量...目的探讨我国三级肿瘤医院多学科诊疗(multidisciplinary diagnosis and treatment,MDT)模式执行问题。方法运用史密斯模型,从理想化政策、执行机构、目标群体以及环境因素分析我国三级肿瘤医院MDT模式执行现状。结果在推动医院高质量发展的大形势下,我国三级肿瘤医院MDT模式得到迅速发展,但仍处在试点阶段,相关制度欠缺相应的配套政策和措施,患者缺乏对MDT模式的全面认知等。结论基于存在的问题,建议行政部门加强对MDT的规范和监管;制定合理的收费标准,并将MDT收费项目纳入医保;推动实施由医院行政主导的MDT管理模式;依托医疗联合体建设、医院联盟等,大力发展网络MDT工作。展开更多
基金supported by the Key Research and Development Program of Shaanxi Province(Grant Number:2020SF-146)the Science and Technology Project of Xianyang City(Project Number:2021ZDYF-SF-0062).
文摘Objective:To investigate the effectiveness of applying a multidisciplinary collaborative model for the diagnosis and treatment of patients with vertigo.Methods:The study was carried out in Xianyang Hospital of Yan’an University,in which 100 patients with vertigo were selected from April 2021 to April 2022 and were divided into two groups:the control group was under the single diagnosis and treatment model,whereas the experimental group was under the multidisciplinary collaborative diagnosis and treatment model,with 50 cases in each group.The diagnostic effects of the two groups were compared.Results:The diagnostic and therapeutic efficiency of the patients in the experimental group were 94%and 98%,respectively,while those of the patients in the control group were 78%and 82%,respectively,with a significant difference between the two groups(p<0.05).The balance scores of the patients in both groups were low before the treatment,in which the difference was not significant(p>0.05);after the treatment,the scores improved,with those of the patients in the experimental group being significantly higher than those in the control group(p<0.05).Moreover,the satisfaction rate of patients in the experimental group(98%)was significantly higher than that of the control group(80%)(p<0.05).Conclusion:The application of the multidisciplinary collaborative diagnosis and treatment model in the diagnosis of patients with vertigo is effective.The multidisciplinary model can improve clinical diagnosis,enhance the treatment effect,improve the clinical symptoms of patients,and increase the satisfaction of patient care.Hence,it is of high clinical application value.
文摘目的探究在神经病学临床实习教学中实施多学科诊疗(Multidisciplinary Diagnosis and Treatment,MDT)模式下问题为导向(Problem-based Learning,PBL)教学法的效果。方法选取2023年1—12月东台市人民医院神经病学科的60名规培生为研究对象,以教学方法的不同分为观察组、参照组,各30名。参照组行PBL教学法,观察组行MDT模式下PBL教学法。比较两组带教前后的考核成绩(理论知识和实践能力)、临床工作能力(自学能力、临床分析能力、临床思维能力及团队合作能力)及带教满意程度。结果观察组的考核成绩、临床工作能力及带教满意程度均高于参照组,差异有统计学意义(P均<0.05)。结论MDT模式下PBL教学法能够改善神经病学临床实习教学中规培生考核成绩,改善临床工作能力,提高带教满意程度。
文摘目的分析多学科诊疗模式(Multidisciplinary-Treatment-Model,MDT)在慢性创面护理中的临床效果。方法选取莆田市第一医院烧伤整形科在2022年6月-2023年6月收治的331例慢性创面患者进行分析,对其实施MDT护理,评估所有患者临床数据。结果331例患者中,愈合时间为(17.88±2.26)d、换药次数为(4.02±1.12)次、创面深度为(0.85±0.26)cm、创面面积为(2.58±0.41)cm^(2)。331例患者干预第7 d VAS、HAMA、HAMD评分均低于干预前(P<0.05);331例患者干预第7 d的IL-4、TNF-a、IL-1β指标均低于干预前(P<0.05)。结论MDT在慢性创面护理中的临床应用可以显著改善患者的治疗效果,缩短愈合时间,并且有效控制疼痛感受,是一种值得推广和应用的治疗策略。
文摘目的探讨我国三级肿瘤医院多学科诊疗(multidisciplinary diagnosis and treatment,MDT)模式执行问题。方法运用史密斯模型,从理想化政策、执行机构、目标群体以及环境因素分析我国三级肿瘤医院MDT模式执行现状。结果在推动医院高质量发展的大形势下,我国三级肿瘤医院MDT模式得到迅速发展,但仍处在试点阶段,相关制度欠缺相应的配套政策和措施,患者缺乏对MDT模式的全面认知等。结论基于存在的问题,建议行政部门加强对MDT的规范和监管;制定合理的收费标准,并将MDT收费项目纳入医保;推动实施由医院行政主导的MDT管理模式;依托医疗联合体建设、医院联盟等,大力发展网络MDT工作。