Application of multidisciplinary collaborative nursing model in severe septic shock
多学科协作护理模式在重症感染性休克中的应用探讨

摘要

目的 探讨多学科协作（MDT）护理模式在重症感染性休克患者中的应用效果，为临床护理方案优化提供依据。方法 选取2024年5月至2025年5月本院收治的60例重症感染性休克患者作为研究对象，按随机数字表法分为实验组和对照组，各30例。对照组实施重症医学科常规护理，实验组采用MDT护理模式，组建由重症医学科、感染科、呼吸科、营养科、药学部及康复科组成的协作团队开展护理干预。比较两组患者的临床指标改善情况、并发症发生率及护理满意度。结果 实验组休克纠正时间（18.2±4.5）h、ICU住院时间（7.3±2.1）d，均显著短于对照组的（26.8±5.3）h、（11.5±2.8）d（P<0.05）；实验组血乳酸清除时间（24.6±6.2）h、机械通气时间（5.1±1.6）d，亦短于对照组的（35.9±7.8）h、（8.4±2.3）d（P<0.05）。实验组并发症发生率为13.3%（4/30），低于对照组的40.0%（12/30）（P<0.05）；实验组护理满意度为96.7%（29/30），高于对照组的73.3%（22/30）（P<0.05）。结论 多学科协作护理模式可有效缩短重症感染性休克患者的休克纠正时间与住院周期，降低并发症风险，提升护理满意度，值得临床推广应用。

Abstract

Objective To evaluate the efficacy of multidisciplinary team (MDT) nursing model in critically ill septic shock patients and provide evidence for optimizing clinical nursing protocols.
Methods A total of 60 critically ill septic shock patients admitted to our hospital from May 2024 to May 2025 were randomly assigned to an experimental group (30 cases) or a control group (30 cases) using a randomized number table method. The control group received standard intensive care unit (ICU) nursing, while the experimental group underwent MDT nursing with a collaborative team comprising ICU, infectious disease, respiratory, nutrition, pharmacy, and rehabilitation departments. Clinical outcomes, complication rates, and nursing satisfaction were compared between groups.
Results The experimental group showed significantly shorter shock resolution time (18.2±4.5) hours and ICU stay duration (7.3±2.1) days (P<0.05) compared to the control group (26.8±5.3) hours and (11.5±2.8) days, respectively. The experimental group also demonstrated shorter blood lactate clearance time (24.6±6.2) hours and mechanical ventilation duration (5.1±1.6) days (P<0.05). The complication rate in the experimental group was 13.3% (4/30), significantly lower than the control group's 40.0% (12/30) (P<0.05). Nursing satisfaction reached 96.7% (29/30) in the experimental group, markedly higher than the control group's 73.3% (22/30) (P<0.05).
Conclusion   The multidisciplinary collaborative nursing model can effectively shorten the time of shock correction and hospitalization period of patients with severe septic shock, reduce the risk of complications, improve nursing satisfaction, and is worthy of clinical application.