摘要
目的探讨多学科协作模式(MDT)联合多感官促醒对多发伤围手术期患者术后苏醒时间和并发症的影响。方法选取四川省攀枝花市中心医院2018年4月至2020年4月收治的87例多发伤患者作为研究对象,采用随机数字表法将患者随机分为对照组43例和观察组44例。对照组采用常规护理,观察组在常规护理基础上采用MDT模式联合多感官促醒。比较2组患者术后清醒率和清醒时间,并对2组患者的格拉斯哥昏迷量表(GCS)、功能障碍评分(DRS)评分及术后并发症发生率进行分析。结果观察组清醒36例(81.82%,36/44),多于对照组的22例(51.16%,22/43),2组比较差异有统计学意义(χ^(2)值为9.197,P<0.05)。观察组清醒时间(15.52±8.48)d,少于对照组的(27.13±10.35)d,2组比较差异有统计学意义(t值为5.729,P<0.01)。观察组护理后出现7例(15.91%,7/44)并发症,少于对照组的15例(34.88%,15/43),2组比较差异有统计学意义(χ^(2)值为4.144,P<0.05)。干预1、3、6个月后,2组患者的GCS、DRS评分均低于上一个时点,且组间比较观察组患者低于对照组,差异均有统计学意义(t值为2.003~11.039,P<0.05)。结论对多发伤围手术期患者采用MDT联合多感官促醒可以提高术后清醒率,减少患者清醒时间和并发症发生率,同时还可有效降低患者在护理期间的昏迷程度,提高其生理状态,值得在相关护理工作中推广使用。
Objective To explore the effect of multi disciplinary team(MDT)combined with call-out nursing on postoperative recovery time and complications of patients with multiple injuries during perioperative period.Methods A total of 87 patients with multiple injuries admitted to our hospital from April 2018 to April 2020 were selected as the research objects.The patients were randomly divided into the control group(43 cases)and the observation group(44 cases)using a random number table method.The control group received routine care,and the observation group used MDT mode combined with call-out nursing based on routine care.The surgical awake rate and recovery time of the two groups were compared,and the scores of Glasgow Coma Scale(GCS),Disability Rating Scale(DRS)and the incidence of postoperative complications of the two groups were analyzed.Results A total of 36 cases(81.82%)in the observation group were awake,which was significantly more than 22 cases(51.16%)in the control group.There was a statistical difference between the two groups(χ^(2) value was 9.197,P<0.05).The recovery time of the observation group was(15.52±8.48)days,shorter than(27.13±10.35)days of the control group with significant difference(t value was 5.729,P<0.01).Seven cases(15.91%)of complications occurred in the observation group after nursing,which was significantly less than 15 cases(34.88%)of the control group.There was a statistical difference between the two groups(χ^(2) value was 4.144,P<0.05).After 1,3,and 6 months of intervention,the GCS and DRS scores of the two groups of patients were lower than the previous point in time,and the observation group was lower than those of the control group,the difference was statistically significant(t value was 2.003-11.039,P<0.05).Conclusions The use of MDT combined with call-out nursing for patients with multiple injuries during the perioperative period can increase the postoperative wakefulness rate,reduce the patients'wakefulness time and the probability of complications,and also effectively reduce the patient's coma during nursing and improve their physiological state.It is worthwhile being promoted in related nursing work.
作者
易瑜
李倩
严邱英
Yi Yu;Li Qian;Yan Qiuying(Emergency Department of Panzhihua Central Hospital,Sichuan Province,Panzhihua 617000,China)
出处
《中国实用护理杂志》
2021年第23期1791-1795,共5页
Chinese Journal of Practical Nursing
基金
四川省科技厅项目(2018BAI13B18)。
