The study of early MDT bundle intervention strategy on acquired frailty in ICU children
早期MDT集束化干预策略对ICU患儿获得性衰弱的研究

摘要

目的 本文研究分析早期MDT集束化干预策略对ICU患儿获得性衰弱的临床效果。方法 入组样本选自本院儿科重症监护室在2020年10月-2021年10月期间收治住院的86例患儿，根据护理模式差异化将所有患儿平均分成常规护理组和早期MDT集束化护理组（每组各43例）,对比两组患儿在发生ICU获得性衰弱情况、对护理满意度评价以及机械通气和住院时间。结果 早期MDT集束化护理组的患儿在发生ICU获得性衰弱情况、对护理满意度评价以及机械通气和住院时间均远远优于常规护理组，P＜0.05说明存在对比意义。结论 采取早期MDT集束化护理可以显著降低ICU患儿发生获得性衰弱，明显提高护理满意度评价且减少机械通气和住院时间，进而使得缩减医疗费用，因此值得临床推广应用。

Abstract

Objective: To study and analyze the clinical effect of early MDT cluster intervention strategy on acquired asthenia in ICU children.
Methods: the enrolled samples were 86 children hospitalized in the pediatric intensive care unit of our hospital from October 2020 to October 2021. According to the difference of nursing mode, all children were divided into the routine nursing group and the early MDT cluster nursing group (43 cases in each group). The acquired weakness in ICU, the evaluation of nursing satisfaction, mechanical ventilation and hospitalization time of the two groups were compared.
Results: the children in the early MDT cluster nursing group were much better than those in the conventional nursing group in terms of ICU acquired weakness, evaluation of nursing satisfaction, mechanical ventilation and length of stay (P < 0.05).
Conclusion  : early MDT cluster nursing can significantly reduce the acquired weakness of children in ICU, significantly improve the evaluation of nursing satisfaction, reduce mechanical ventilation and hospitalization time, and then reduce medical expenses. Therefore, it is worthy of clinical application.