摘要
目的 探讨多学科团队(MDT)协作护理模式在神经外科重症患者中的临床应用效果。方法 选取 2019年1月-2019年10月于神经外科住院的重症病人169例，随机分组为对照组和观察组，对照组79例，观察组90例。对照组采用常规护理模式，观察组采用MDT协作护理模式。干预后比较两组病人口腔护理评分情况、不同类型疾病的术后肺炎（POP）发生率，分析POP发生的影响因素。结果 观察组患者口腔护理评分高于对照组，观察组POP发生率低于对照组，差异有统计学意义（P<0.05）。神经重症患者POP的发生与年龄、性别、ASA分级、疾病类型等无关（p>0.05），与护理类型有关。结论 MDT协作护理模式可以减少POP的发生，改善患者生活质量，提高护理满意度。
关键词： MDT模式；护理；神经重症；POP
Abstract
Objective: To explore the clinical application effect of multidisciplinary team (MDT) collaborative nursing model in neurosurgery critical patients. Methods: From January 2019 to October 2019, 169 severely ill patients hospitalized in the Department of Neurosurgery were randomly divided into a control group and an observation group, with 79 cases in the control group and 90 cases in the observation group. The control group received conventional nursing, and the observation group received MDT cooperative nursing. After intervention, the oral care scores of the two groups of patients and the incidence of postoperative pneumonia (POP) of different types of diseases were compared, and the influencing factors of POP were analyzed. Results: The oral care score of the observation group was higher than that of the control group, and the incidence of POP in the observation group was lower than that of the control group, the difference was statistically significant (P<0.05). The occurrence of POP in neurologically ill patients has nothing to do with age, gender, ASA grade, disease type, etc. (p>0.05), and is related to the type of care. Conclusion : MDT collaborative nursing model can reduce the occurrence of POP, improve patients' quality of life, and improve nursing satisfaction.
Key words： Multidisciplinary team model, nursing, critical care in the Department of Neurology, postoperative pneumonia
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