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Application Analysis of Multidisciplinary Diagnosis and Treatment Nursing Mode Based on Doctor-Nurse-Integration for Stroke Patients Undergoing Emergency Intervention Surgery

PURPOSE: To analyze the application value of multidisciplinary diagnosis and treatment (MDT) nursing mode based on doctor-nurse-integration for stroke patients undergoing emergency intervention surgery. METHODS: In this study, a historical comparative study method was adopted. 118 stroke patients an...

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Autores principales: Zhong, Hai, Liang, Aiqun, Luo, Huanhuan, Hu, Xiaolong, Xu, Shengxiang, Zheng, Ziming, Zhu, Xiaoping
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9674415/
https://www.ncbi.nlm.nih.gov/pubmed/36406931
http://dx.doi.org/10.1155/2022/6299676
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author Zhong, Hai
Liang, Aiqun
Luo, Huanhuan
Hu, Xiaolong
Xu, Shengxiang
Zheng, Ziming
Zhu, Xiaoping
author_facet Zhong, Hai
Liang, Aiqun
Luo, Huanhuan
Hu, Xiaolong
Xu, Shengxiang
Zheng, Ziming
Zhu, Xiaoping
author_sort Zhong, Hai
collection PubMed
description PURPOSE: To analyze the application value of multidisciplinary diagnosis and treatment (MDT) nursing mode based on doctor-nurse-integration for stroke patients undergoing emergency intervention surgery. METHODS: In this study, a historical comparative study method was adopted. 118 stroke patients and medical staff (9 doctors and 11 nurses) who met the diagnosis and inclusion criteria of emergency intervention surgery admitted from July 2021 to February 2022 were treated clinically according to the traditional medical care mode (TMC group), 87 stroke patients and medical staff (9 doctors and 11 nurses) who met the diagnosis and inclusion criteria of emergency intervention surgery admitted from February 2022 to June 2022 were treated and cared according to the MDT nursing mode based on medical integration (MDT group). Comparison of perioperative time indicators, postoperative outcome indicators, treatment compliance, secondary complications and visit satisfaction between the two groups of patients, and comparison of cooperation satisfaction between the two groups of medical staff. RESULTS: The MDT group had shorter onset—emergency physician's reception time, arrival at CT room—completion time of CT/MR, notify intervention chamber—arrival time at catheter chamber, admission—femoral artery puncture time, admission—first vessel recanalization time, mean postural restraint time than the TMC group (P < 0.05). The postoperative mortality rate in the MDT group (5.75%) was comparable to that in the TMC group (8.47%) (P > 0.05); the postoperative disability rate in the MDT group (28.74%) was less than that in the TMC group (45.76%) (P < 0.05); the NIHSS score in the MDT group was lower than that in the TMC group, and the FMA score and BI score were both higher than those in the TMC group (P < 0.05). The MDT group had higher treatment compliance than the TMC group, fewer secondary complications than the TMC group, and higher patient visit satisfaction and medical staff cooperation satisfaction than the TMC group (P < 0.05). CONCLUSION: The implementation of the MDT nursing mode based on the doctor-nurse-integration for stroke patients undergoing emergency intervention surgery can improve the work efficiency of rescuing patients, improve the clinical treatment outcome of patients, and improve the satisfaction of doctors, nurses, and patients.
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spelling pubmed-96744152022-11-19 Application Analysis of Multidisciplinary Diagnosis and Treatment Nursing Mode Based on Doctor-Nurse-Integration for Stroke Patients Undergoing Emergency Intervention Surgery Zhong, Hai Liang, Aiqun Luo, Huanhuan Hu, Xiaolong Xu, Shengxiang Zheng, Ziming Zhu, Xiaoping Emerg Med Int Research Article PURPOSE: To analyze the application value of multidisciplinary diagnosis and treatment (MDT) nursing mode based on doctor-nurse-integration for stroke patients undergoing emergency intervention surgery. METHODS: In this study, a historical comparative study method was adopted. 118 stroke patients and medical staff (9 doctors and 11 nurses) who met the diagnosis and inclusion criteria of emergency intervention surgery admitted from July 2021 to February 2022 were treated clinically according to the traditional medical care mode (TMC group), 87 stroke patients and medical staff (9 doctors and 11 nurses) who met the diagnosis and inclusion criteria of emergency intervention surgery admitted from February 2022 to June 2022 were treated and cared according to the MDT nursing mode based on medical integration (MDT group). Comparison of perioperative time indicators, postoperative outcome indicators, treatment compliance, secondary complications and visit satisfaction between the two groups of patients, and comparison of cooperation satisfaction between the two groups of medical staff. RESULTS: The MDT group had shorter onset—emergency physician's reception time, arrival at CT room—completion time of CT/MR, notify intervention chamber—arrival time at catheter chamber, admission—femoral artery puncture time, admission—first vessel recanalization time, mean postural restraint time than the TMC group (P < 0.05). The postoperative mortality rate in the MDT group (5.75%) was comparable to that in the TMC group (8.47%) (P > 0.05); the postoperative disability rate in the MDT group (28.74%) was less than that in the TMC group (45.76%) (P < 0.05); the NIHSS score in the MDT group was lower than that in the TMC group, and the FMA score and BI score were both higher than those in the TMC group (P < 0.05). The MDT group had higher treatment compliance than the TMC group, fewer secondary complications than the TMC group, and higher patient visit satisfaction and medical staff cooperation satisfaction than the TMC group (P < 0.05). CONCLUSION: The implementation of the MDT nursing mode based on the doctor-nurse-integration for stroke patients undergoing emergency intervention surgery can improve the work efficiency of rescuing patients, improve the clinical treatment outcome of patients, and improve the satisfaction of doctors, nurses, and patients. Hindawi 2022-11-11 /pmc/articles/PMC9674415/ /pubmed/36406931 http://dx.doi.org/10.1155/2022/6299676 Text en Copyright © 2022 Hai Zhong et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Zhong, Hai
Liang, Aiqun
Luo, Huanhuan
Hu, Xiaolong
Xu, Shengxiang
Zheng, Ziming
Zhu, Xiaoping
Application Analysis of Multidisciplinary Diagnosis and Treatment Nursing Mode Based on Doctor-Nurse-Integration for Stroke Patients Undergoing Emergency Intervention Surgery
title Application Analysis of Multidisciplinary Diagnosis and Treatment Nursing Mode Based on Doctor-Nurse-Integration for Stroke Patients Undergoing Emergency Intervention Surgery
title_full Application Analysis of Multidisciplinary Diagnosis and Treatment Nursing Mode Based on Doctor-Nurse-Integration for Stroke Patients Undergoing Emergency Intervention Surgery
title_fullStr Application Analysis of Multidisciplinary Diagnosis and Treatment Nursing Mode Based on Doctor-Nurse-Integration for Stroke Patients Undergoing Emergency Intervention Surgery
title_full_unstemmed Application Analysis of Multidisciplinary Diagnosis and Treatment Nursing Mode Based on Doctor-Nurse-Integration for Stroke Patients Undergoing Emergency Intervention Surgery
title_short Application Analysis of Multidisciplinary Diagnosis and Treatment Nursing Mode Based on Doctor-Nurse-Integration for Stroke Patients Undergoing Emergency Intervention Surgery
title_sort application analysis of multidisciplinary diagnosis and treatment nursing mode based on doctor-nurse-integration for stroke patients undergoing emergency intervention surgery
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9674415/
https://www.ncbi.nlm.nih.gov/pubmed/36406931
http://dx.doi.org/10.1155/2022/6299676
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