追踪式多学科协作团队护理查房在危重共病患者中的实践

doi:10.3761/j.issn.2096-7446.2025.04.016

Abstract

Abstract:

Objective To summarize our experience in implementing tracking based multidisciplinary team（MDT） nursing rounds for critically ill patients with comorbidities，and provide reference for related process establishment and clinical practice. Methods A nursing rounds special team for critically ill patients with comorbidities was established to analyze the problems existing in routine nursing rounds，and optimize measures from various aspects such as pre-consultation organizational methods，consultation process and difficult point discussions，post-consultation tracking management，and nursing round summary discussions. A process for tracking multidisciplinary team（MDT） nursing rounds was established and quality control was carried out，which was applied in seven departments. Results From June 2022 to May 2024，we conducted tracking based MDT nursing rounds for 18 critically ill patients with comorbidities，the length of hospital stay of critically ill patients in the experimental group[（18.50±2.15） d] was shorter than that of the routine nursing rounds group[（19.72±2.08） d]. The incidence of inconti-nence dermatitis decreased from 30.56% to 5.56%，and the incidence of oral mucositis decreased from 19.44% to 0，nursing job satisfaction score increased from（41.72±3.44） points to（47.22±2.53） points. Conclusion The application of tracking based MDT nursing rounds can shorten the hospitalization time of critically ill patients with comorbidities and reduce the incidence of nursing related complications，improve satisfaction with nursing care.

Key words: Tracking MDT Nursing Rounds, Critical Comorbid Patients, Nursing Practice, Effect Evaluation

TIAN Jinping, WANG Rong, ZHENG Yaping, LU Jingxian, SHI Lifeng, ZHENG Danping. Practice of tracking based multidisciplinary collaborative team nursing rounds in the care of critically ill patients with comorbidities[J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(4): 470-474.

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Practice of tracking based multidisciplinary collaborative team nursing rounds in the care of critically ill patients with comorbidities

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