早期多学科协作联合集束化策略对急性心肌梗死患者ICU获得性衰弱综合征的影响
Effect of Early Multidisciplinary Collaboration Combined with Cluster Strategy on Acquired Debilitating Syndrome in ICU of Patients with Acute Myocardial Infarction.
作者信息
Zhao Teng, Zhao Mingyu, Li Qiang, Guan Zhanjiang, Zhang Xu, Li Li
机构信息
Department of Intensive Care Medicine, The Third Affiliated Hospital of Qiqihar Medical University, Qiqihar 161000, China.
Department of Vascular Surgery, The Third Affiliated Hospital of Qiqihar Medical University, Qiqihar 161000, China.
出版信息
Iran J Public Health. 2022 Nov;51(11):2519-2527. doi: 10.18502/ijph.v51i11.11169.
BACKGROUND
To investigate the preventive effect of early multidisciplinary collaboration combined with cluster strategy on acquired frailty syndrome in ICU of patients with acute myocardial infarction (AMI).
METHODS
A total of 240 patients with myocardial infarction (MI) admitted to ICU in The Third Affiliated Hospital of Qiqihar Medical University, Qiqihar, China from March 2018 to March 2020 were selected. The patients were randomly divided into experiment group and control group equally according to random number method. The experimental group was treated with early multidisciplinary collaboration and cluster strategy, while the control group was treated with routine nursing mode. Duration of ventilation, total length of stay, length of ICU stay, New York College of Cardiology cardiac function classification, MRC-Score, BI and complications during hospitalization were recorded.
RESULTS
After intervention, there were statistically significant differences in ventilation duration, total length of stay, length of stay in ICU, Heart function classification of New York Cardiology Society, MRC-Score, BI index, SF-36 score and complications during hospitalization in 2 groups ( < 0.05), and the above indicators in the experimental group were better than those in the control group.
CONCLUSION
Early multidisciplinary collaboration combined with cluster strategy can significantly reduce the incidence of AMI in ICU of MI patients.
背景
探讨早期多学科协作联合集束化策略对急性心肌梗死（AMI）患者重症监护病房（ICU）获得性衰弱综合征的预防效果。
方法
选取2018年3月至2020年3月在齐齐哈尔医学院附属第三医院ICU住院的240例心肌梗死（MI）患者。采用随机数字法将患者平均分为试验组和对照组。试验组采用早期多学科协作联合集束化策略治疗，对照组采用常规护理模式。记录通气时间、总住院时间、ICU住院时间、纽约心脏病学会心功能分级、MRC评分、BI指数及住院期间并发症情况。
结果
干预后，两组通气时间、总住院时间、ICU住院时间、纽约心脏病学会心功能分级、MRC评分、BI指数、SF - 36评分及住院期间并发症比较，差异有统计学意义（<0.05），且试验组上述指标均优于对照组。
结论
早期多学科协作联合集束化策略可显著降低MI患者ICU中AMI的发生率。
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