专科护士主导的多学科合作干预对主动脉瓣膜置换术患者应用效果观察

打开文本图片集

AbstractObjective：Toexplorethefectofaspecialistnurse-ledmultidisciplinaryinterventiononpostoperativedeliumand sleepqualityinpatients undergoing aorticvalvereplacement（AVR）.Methods：Atotalof1OOAVR patientsadmited totheCardiovascularSurgeryIntensiveCare UnitofQiluHospital，handong UniversityfromFebruary2O23toFebruary2O5wereselected andrandomlydivided intoacontrolgroupandanobservationgroupusingarandom number table method，with5O patients ineach group.Thecontrolgoupreceivedroutinenursing intervention，whiletheobservationgroupreceivedmultidisciplinaryintervention led byspecialistnurses.The Pitsburgh Sleep Quality Index（PSQI）wasused tocomparesleepqualitybetween the two groups.The incidenceof postoperativedeliriumand nursingsatisfactionbetweenthe two groups were alsocompared.ResultsAfter theintervention，tebservationgrouphadasigificantlylowerincidenceofpostoperativedelium，owerPSQIsores，ndhigher nursing satisfaction than the control group（all P<0.05 ）.Conclusion： Multidisciplinary intervention led by specialist nurses for AVR patientscanreduce theincidence ofpostoperativedelirium，improve sleepqualityand enhance nursingsatisfaction，wichis worthy of clinical application and promotion.

KeywordsAorticvalvereplacement；Specialistnurse-led;Multidisciplinary intervention；Delirium；Sleepquality；Satisfaction 中图分类号：R473.6;R338.63 文献标识码：A doi：10.3969/j.issn.2095-7130.2025.08.040

主动脉瓣膜置换术（AorticValveReplacement，AVR）作为临床治疗严重心脏瓣膜病变的关键手段，通过植人人工瓣膜替换病变瓣膜，可恢复心脏正常血流动力学。（剩余5044字）