Abstract:

Objective  To explore the application value of a multidisciplinary team management model based on the concept of fast track surgery(FTS) in patients with aneurysmal inferior cavity hemorrhage.

Methods  The clinical data of 113 patients with aneurysmal inferior cavity hemorrhage in our hospital were collected for retrospective analysis and case-control study was carried out. According to nursing plans, they were divided into control group(n=56) and research group(n=57). Both groups underwent coil embolization, the control group received traditional nursing, and on the basis of traditional nursing, the research group received a multidisciplinary team management model based on the FTS concept. The complications, intraoperative blood pressure and heart rate fluctuations, recovery of illness［length of hospitalization, defecation time, recovery time of bowel sounds, glasgow outcome scale(GOS) score at discharge］, and nursing satisfaction degree were calculated in the two groups. The National Institutes of Health Stroke Scale(NIHSS), activity of daily living(ADL), and generic quality of life inventory-74(GQOLI-74) at admission and discharge were compared.

Results  The intraoperative blood pressure and heart rate fluctuations in the research group were lower than those in the control group(P＜0.05). In the research group, the length of hospitalization, defecation time, recovery time of bowel sounds, and anal exhaust time were shorter than those of the control group, while the GOS score at discharge was higher than that of the control group(P＜0.05). The NIHSS and ADL scores of the research group were lower than those of the control group at discharge(P＜0.05). The scores of mental function, physical function and social function of the research group were higher than those of the control group at 1 month after discharge(P＜0.05). The complication rate of the research group was 3.51%, which was lower than that(15.79%) in the control group, and the degree of nursing satisfaction was 92.98%, which was higher than that(80.36%) of the control group(P＜0.05).

Conclusion  The multidisciplinary team management model based on the FTS concept can reduce intraoperative blood pressure and heart rate fluctuations in patients with aneurysmal inferior cavity hemorrhage, promote their recovery, which can improve patients′ neurological function, ADL and quality of life, reduce the incidence of complications, and improve the prognosis of the disease.

Key words: subarachnoid hemorrhage, rehabilitation nursing, neurological rehabilitation