A multidisciplinary team nursing model in the treatment of patients undergoing transapical mitral valve clamping: a prospective study

Journal of Cardiothoracic Surgery

Sailan Li¹  Zhenzhen Wang¹  Meihua Chen¹  Yanjuan Lin²  Haoruo Zhang³ 

[1] Department of Cardiac Surgery, Fujian Medical University Union Hospital, 29 Xinquan Road, Fuzhou City, Fujian Province, China;Department of Nursing, Fujian Medical University Union Hospital, 29 Xinquan Road, Fuzhou City, Fujian Province, China;Fujian Medical University Union Hospital, 29 Xinquan Road, Fuzhou City, Fujian Province, China;

关键词: Cardiac insufficiency;    Transapical mitral valve clamp surgery;    Multidisciplinary team;    Nurses;    soins multidisciplinaires;    pinchage de la valve mitral;    chirurgie cardiaque;   

DOI  :  10.1186/s13019-021-01588-7

来源: Springer

【 摘 要 】

BackgroundAs a new surgical method for older adults with cardiac insufficiency, transapical mitral valve clamp surgery requires the cooperation of practitioners across multiple disciplines to ensure appropriate treatment and nursing care. This study aimed to explore the utility of a multidisciplinary team nursing model in the clinical treatment and nursing care of patients undergoing transapical mitral valve clamping.MethodsOur sample of ten patients included four men (40%) and six women (60%), with a mean age of 71.4 ± 5.2 years. The multidisciplinary team comprised nurses that specialized in severe illness, cardiac health, rehabilitation, psychology, nutrition, and pain. The team engaged in comprehensive discussions regarding problems specific to the patients undergoing transapical mitral valve surgery, allowing them to formulate individualized nursing measures and implement precise policies.ResultsNo serious postoperative complications occurred in any of the ten patients included in this study, and a significant improvement was noted in the cardiac status of all the patients. Color ultrasound findings at discharge indicated that the degree of reflux of all the patients was ≤2+. Among the ten patients, the Activity of Daily Living Scale scores at discharge were significantly higher than before the operation (69.0 ± 4.6 vs. 55.0 ± 5.8). In addition, the 6-min walking test results at discharge were significantly better than those observed before the operation (318.0 ± 21.7 m vs. 295.2 ± 18.4 m).ConclusionsUtilization of a multidisciplinary team allows nurses across various specialties to provide more comprehensive and systematic care for patients undergoing a mitral valve clamping operation, thus promoting patient recovery.

【 授权许可】

CC BY