多学科团队工作模式下老年肺部感染的modse预防干预研究.docVIP

·临床研究· 多学科团队工作模式下老年肺部感染的MODSE预防干预研究 谭清武*，范艳平，李志颖，唐静怡，李庆华 （解放军白求恩国际和平医院干部病房，石家庄 050082） 【摘 要】目的 探讨多学科团队工作模式下老年肺部感染的老年多器官功能不全综合征（MODSE）预防干预，为早期预防老年肺部感染并发MODSE奠定基础。方法 采用多学科协作的团队工作方式，建立MODSE多学科团队预防干预模式，应用多学科团队预防干预模式对23例老年肺部感染并发MODSE高危病例进行干预，并与34例实施常规干预的老年肺部感染并发MODSE高危病例进行比较。结果 多学科干预组23例老年肺部感染并发MODSE的高危病例中，有2例并发MODSE，MODSE发病率为8.70%；常规干预组34例老年肺部感染并发MODSE的高危病例中，有11例并发MODSE，MODSE发病率为32.35%。多学科干预组老年肺部感染并发MODSE高危病例的MODSE发病率低于常规干预组（χ2＝P＝R592; R563.1; R365 【文献标识码】 A 【DOI】 ? Multidisciplinary team work mode-guided intervention to prevent elderly multiple organ dysfunction syndrome caused by pulmonary infection TAN Qing-Wu*, FAN Yan-Ping, LI Zhi-Ying, TANG Jing-Yi, LI Qing-Hua (Cadres Ward, Bethune International Peace Hospital of the PLA, Shijiazhuang 050082, China) 【Abstract】 Objective To explore the intervention to prevent multiple organ dysfunction syndrome in the elderly (MODSE) caused by pulmonary infection under the guide of multidisciplinary team work mode and found a basis for early prevention of the syndrome. Methods The multidisciplinary team prevention model was established to prevent MODSE caused by pulmonary infection. A total of 57 patients (over 65 years old) of high risk for MODSE due to pulmonary infection admitted in our ward from October 2010 to March 2014 were recruited in this study. Twenty-three of them underwent the intervention based on the multidisciplinary team prevention model, and assigned as multidisciplinary intervention group. Another 34 cases were treated by conventional intervention to prevent MODSE, and named as conventional intervention group. The incidence of MODSE was observed and compared between the 2 groups. Results In the multidisciplinary intervention group, there were 2 patients having MODSE, with an incidence of 8.70%. In the conventional intervention group, totally 11 patients (32.35%) suffered from MODSE. The incidence of MODSE was significantly lower in the multidisciplinary intervention group than conventional