何小青 刘春兰 崔静舒

【摘要】 目的：探讨多学科团队照护模式在脑卒中患者中的应用效果。方法：共选取笔者所在医院2011年1月1日-10月30日脑卒中患者78例，采用随机区组设计法分为对照组和观察组，各39例。对照组采用传统的护理模式，观察组采用多学科团队照护模式。分别在患者入住时和出院时采用生存质量测定量表（WHOQOL-BREF）对两组患者的生存质量进行评分，并调查其满意度，结果采用SPSS 23.0统计学软件对所得数据进行统计分析，比较两组差异性。结果：入住时两组患者的生存质量各领域得分比较，差异无统计学意义（P>0.05）;出院时观察组患者生存质量各领域评分显著高于对照组，满意度明显高于对照组，差异均有统计学意义（P<0.01）。结论：多学科团队照护模式能有效地提升患者生存质量水平和患者满意度，可在各科室推广使用，从而提高临床护理质量。

【关键词】 多学科团队照护 脑卒中 生存质量 满意度

doi：10.14033/j.cnki.cfmr.2020.17.033 文獻标识码 B 文章编号 1674-6805（2020）17-00-03

The Effect of Multidisciplinary Team Care on the Quality of Life of Stroke Patients/HE Xiaoqing， LIU Chunlan， CUI Jingshu. //Chinese and Foreign Medical Research， 2020， 18（17）： -82

[Abstract] Objective： To explore the effect of multidisciplinary team care in stroke patients. Method： A total of 78 stroke patients in our hospital from January 1 to October 30， 2019 were selected， they were randomly divided into control group and observation group with 39 cases in each. The control group adopted the traditional nursing mode， and the observation group adopted a multidisciplinary team care model. The quality of life （QOL-BREF） of the patients in the two groups was scored at the time of admission and discharge， and investigated their satisfaction. The SPSS 23.0 software was used to analyze the data and compare the differences between the two groups. Result： At the time of check-in， the quality of life scores of the two groups were compared， and there was no statistical significance （P>0.05）. At the time of discharge， the scores of each field of quality of life in the observation group were significantly higher than those in the control group， the satisfaction was also significantly higher than that of the control group， the differences were statistically significant （P<0.01）. Conclusion： Multidisciplinary team care model can effectively improve the quality of life and patient satisfaction. It can be widely used in all departments， so as to improve the quality of clinical nursing.

[Key words] Multidisciplinary team care Stroke Quality of life Satisfaction

First-authors address： Zhanjiang Central Peoples Hospital， Zhanjiang 524045， China

随着社会老龄化进程的发展，脑卒中发病率逐年升高，目前已经成为老龄化社会最主要的致残性疾病之一[1-2]。具有复发率高、致残率高和死亡率高等特点的脑卒中，急性期常表现为脑循环局限性和弥漫性脑功能障碍而致不同程度的呼吸及意识障碍，在抢救治疗中需要多学科人员配合进行治疗和护理，才能最大程度保证患者生命安全。笔者所在医院于2019年1月1日起在笔者所在医院神经内二区组建了多学科团队（mulitidisciplinary team，MDT）[3]实施预防管理团队合作模式，为患者提供综合、有效的诊疗和护理方案，最大程度改善患者生存质量，现报告如下。

1 资料与方法

1.1 一般资料

选取2……