Effect of multidisciplinary respiratory management team based on physician-nurse collaboration in promoting promoting pulmonary rehabilitation of patients with type A aortic dissection
Objective To investigate the effect of multidisciplinary respiratory management team based on physician-nurse collaboration in promoting pulmonary rehabilitation of patients with type A aortic dissection.Methods A total of 80 patients with type A aortic dissection admitted to our hospital from January 2022 to January 2023 were randomly divided into control group and observation group,with 40 patients in each group.Patients in the control group were given routine nursing,and those in the observation group were given multidisciplinary respiratory management team based on physician-nurse collaboration.The lung function indices at different time points(oxygenation index[OI],respiratory index[RI],dynamic compliance[Cdyn]and static lung compliance[Cst]),clinical indices and satisfaction with nursing care were compared between the two groups.Results At T1,there were no significant differences in OI,RI,Cdyn and Cst between the two groups(P>0.05).At T2,T3 and T4,patients in the observation group presented significantly higher OI,Cdyn and Cst,but significantly lower RI than those of control group(P<0.05).Patients in the observation group presented significantly shorter length in cardiac intensive care unit(CICU),duration of mechanical ventilation,time for high-flow oxygen therapy and overall length of stay,lower lung ultrasound score(LUS)and higher satisfaction with nursing care than those of control group(P<0.05).Conclusion The multidisciplinary respiratory management team based on physician-nurse collaboration can significantly improve the lung function of patients with type A aortic dissection after surgery,shorten the time of mechanical ventilation and improve the satisfaction of nursing care,which is worthy of further promotion in clinical.
physician-nurse collaborationmultidisciplinaryrespiratory management teamtype A aortic dissectionlung function
万方数据
维普
