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多学科团队合作模式在重症呼吸衰竭患者过渡期中的应用效果

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目的 探究基于多学科团队合作的过渡期干预对重症呼吸衰竭患者肺康复的影响.方法 选取2020年1月至2022年4月收治的200例重症呼吸衰竭患者作为研究对象,按数表法将其分为对照组和观察组,每组100例.在患者出ICU的过渡期间,给予对照组常规干预,给予观察组多学科团队合作干预,对2组的肺功能、生活质量、并发症发生率及病情改善情况.结果 干预后,观察组第1秒用力呼气容积(FEV1)、呼气峰值流速(PEF)以及FEV1占用力肺活量比率(FEV1/FVC)均高于对照组(P<0.05);观察组St George's呼吸问卷(SGRQ)中3个维度的评分、并发症总发生率均低于对照组(P<0.05);观察组的机械通气时间、ICU治疗时间及住院时间均比对照组短(P<0.05).结论 基于多学科团队合作的过渡期干预可有效改善重症呼吸衰竭患者的肺功能,提高其生活质量,减少并发症的发生,从而促进患者快速康复.
Effect of transitional care interventions for pulmonary rehabilitation of patients with severe respiratory failure:Based on multidisciplinary teamwork
Objective To explore the effect of transitional care interventions based on multidisciplinary teamwork for pulmonary rehabilitation of patients with severe respiratory failure(SRF).Methods Two hundred SRF patients treated in our hospital from January 2020 to April 2022 were enrolled and randomly assigned into observation group(n=100)and control group(n=100).All patients were managed by routine intervention during the transition period of patients leaving intensive care unit(ICU),and those in observation group additionally received transitional care interventions based on multidisciplinary teamwork.Pulmonary function,quality of life,incidence of complications and disease improvement were evaluated between groups.Results After intervention,patients in the observation group presented significantly higher forced expiratory volume in 1 second(FEV1),peak expiratory flow rate(PEF)and ratio of FEV1 to forced vital capacity(FEV1/FVC),significantly lower the score of three dimensions in the St George's Respiratory Questionnaire(SGRQ)and the total incidence of complications,and significantly shorter duration of mechanical ventilation,duration of ICU and hospitalization time than those of control group(all P<0.05).Conclusion For SRF patients,transitional care interventions based on multidisciplinary teamwork can effectively improve pulmonary function and quality of life,reduce the incidence of complications,thereby promoting rapid recovery of patients.

multidisciplinary teamworktransitional care interventionsevere respiratory failure

陈娟、蒲莲静、张宇、黄璇、叶文

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100070 北京市,首都医科大学附属北京天坛医院ICU重症医学科ICU

北京市朝阳医院

首都儿科研究所附属儿科医院

剑桥大学

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多学科团队合作 过渡期干预 重症呼吸衰竭

2024

河北医药
河北省医学情报研究所

河北医药

CSTPCD
影响因子:1.075
ISSN:1002-7386
年,卷(期):2024.46(12)