Preliminary study on the effect of multiple disciplinary team model nursing team on the treatment of patients with multiple trauma in emergency department
10.3760/cma.j.issn.1674-2907.2019.34.015
- VernacularTitle:多学科协同治疗模式护理团队在急诊多发伤患者救治效果中的初步探索
- Author:
Qian CHEN
1
;
Yuxia CHAI
;
Linlin HU
;
Lijuan ZHU
;
Lihui PEI
;
Xiaopin WU
Author Information
1. 郑州大学第一附属医院急诊外科 450052
- Keywords:
Multiple trauma;
Emergency service,hospital;
Multiple disciplinary team
- From:
Chinese Journal of Modern Nursing
2019;25(34):4472-4475
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the application effects of nursing team in patients with acute multiple trauma in multiple disciplinary team (MDT) model. Methods A convenient sampling method was used to select 82 patients with multiple injuries who were treated since the establishment of the trauma center in the First Affiliated Hospital of Zhengzhou University from July 2016 to June 2018. From July 2014 to June 2016, a total of 55 patients with multiple trauma before the establishment of the trauma center were seclected as the control group. The experimental group was used MDT model for rescue, and the control group was used traditional model for rescue. The doctors' arrival time, emergency examination time, emergency stay time, rescue success rate and postoperative complication rate of the specialists in the two groups were compared. Results The doctors' arrival time in the experimental group was (16.80±3.57) min, the time of emergency examination was (22.36±3.49) min, and the time of emergency stay was (38.19±8.18) min, which was shorter than those of the control group (23.27±5.76), (45.69±7.75), (55.49±13.67) min, the differences between the two groups were statistically significant (P＜0.01). The successful rescue rate of the treatment group was 96.3% (79/82), which was higher than 87.3% (48/55) of the control group. The difference between the two groups was statistically significant (P＜ 0.05). The postoperative complication rate was 3.7% (3/82) in the experimental group and 12.7% (7/55) in the control group, the difference between the two groups was statistically significant (P＜ 0.05). Conclusions Patients with multiple trauma received treatment with MDT model can effectively shorten the time of doctors' arrival, emergency examination time, emergency stay time, improve the success rate of treatment, and reduce the incidence of postoperative complications.
