Role of a fast-track nursing model in interventional treatment of acute type B aortic dissection based on multidisciplinary collaboration

doi:10.3877/cma.j.issn.2095-9133.2025.05.004

Abstract

Abstract:

Objective

To explore the application effect of the fast-track nursing model based on multidisciplinary collaboration in the interventional treatment of acute type B aortic dissection.

Methods

The clinical data of 80 patients with acute type B aortic dissection admitted to our hospital from May 2023 to April 2025 were retrospectively analyzed. Among them, there were 49 males and 31 females, the age ranged from 44 to 72 years, with an average of (58.84±6.85) years. 38 patients who received the conventional nursing mode from May 2023 to April 2024 were assigned to the control group, and 42 patients who received the multidisciplinary collaborative fast-track nursing mode from May 2024 to April 2025 were assigned to the observation group. The treatment effects between the two groups were compared.

Results

The diagnosis time, examination time, emergency stay time and transfer time of the observation group were all shorter than those of the control group (P<0.05); the success rate of treatment in the observation group was higher than that of the control group (P<0.05); The length of stay in the ICU, the time to get out of bed after surgery, and the length of hospital stay in the observation group were all shorter than those in the control group (P<0.05); the scores of the Herth Hope Scale in the observation group at 7 days after admission and at discharge were higher than those in the control group (P<0.05); there was no statistically significant difference by comparison of the total incidence of complications between the two groups (P>0.05); the total satisfaction rate of the observation group with nursing was higher than that of the control group (P<0.05).

Conclusion

The fast-track nursing model based on multidisciplinary collaboration is helpful to shorten the emergency process of patients undergoing interventional therapy for acute type B aortic dissection and promote the early recovery of patients.

Key words: Acute type B aortic dissection, Multidisciplinary collaboration, Emergency department, Fast-track care, Satisfaction

Yan Shao, Caijuan Wu, Youjun Mao, Dongmei Li, Yunzhou Wang, Jiao Guo, Kang Zhu. Role of a fast-track nursing model in interventional treatment of acute type B aortic dissection based on multidisciplinary collaboration[J]. Chinese Journal of Hygiene Rescue(Electronic Edition), 2025, 11(05): 274-277.

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References 9

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组别	例数	性别[例（%）]		年龄（岁）	发病至入院时间（h）	第一破口直径（mm）	破口数量（个）	基础疾病[例（%）]
组别	例数	男性	女性	年龄（岁）	发病至入院时间（h）	第一破口直径（mm）	破口数量（个）	高血压	糖尿病	高脂血症
观察组	42	27（64.29）	15（35.71）	58.43±7.29	5.23±1.29	8.65±1.27	1.83±0.41	26（61.90）	7（16.67）	18（42.86）
对照组	38	22（57.89）	16（42.11）	59.01±6.54	4.97±1.21	8.49±1.52	1.87±0.34	25（65.79）	4（10.53）	15（39.47）
χ²/t值		0.34		0.37	0.93	0.51	0.47	0.13	0.63	0.09
P值		>0.05		>0.05	>0.05	>0.05	>0.05	>0.05	>0.05	>0.05

组别	例数	性别[例（%）]		年龄（岁）	发病至入院时间（h）	第一破口直径（mm）	破口数量（个）	基础疾病[例（%）]
组别	例数	男性	女性	年龄（岁）	发病至入院时间（h）	第一破口直径（mm）	破口数量（个）	高血压	糖尿病	高脂血症
观察组	42	27（64.29）	15（35.71）	58.43±7.29	5.23±1.29	8.65±1.27	1.83±0.41	26（61.90）	7（16.67）	18（42.86）
对照组	38	22（57.89）	16（42.11）	59.01±6.54	4.97±1.21	8.49±1.52	1.87±0.34	25（65.79）	4（10.53）	15（39.47）
χ²/t值		0.34		0.37	0.93	0.51	0.47	0.13	0.63	0.09
P值		>0.05		>0.05	>0.05	>0.05	>0.05	>0.05	>0.05	>0.05

组别	例数	确诊时间	检查时间	急诊停留时间	转运时间
观察组	42	33.49±5.02	17.58±2.59	59.97±7.73	5.92±1.28
对照组	38	37.84±6.45	21.73±3.02	66.33±8.61	7.04±1.67
t值		3.38	6.61	3.48	3.38
P值		<0.05	<0.05	<0.05	<0.05

组别	例数	确诊时间	检查时间	急诊停留时间	转运时间
观察组	42	33.49±5.02	17.58±2.59	59.97±7.73	5.92±1.28
对照组	38	37.84±6.45	21.73±3.02	66.33±8.61	7.04±1.67
t值		3.38	6.61	3.48	3.38
P值		<0.05	<0.05	<0.05	<0.05

组别	例数	住ICU时间	术后下床时间	住院时间
观察组	42	6.34±1.59	9.89±1.79	13.68±2.13
对照组	38	7.18±1.72	11.13±1.87	15.11±2.42
t值		2.27	3.03	2.81
P值		<0.05	<0.05	<0.05

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