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| Application of Multidisciplinary Team Collaboration Combined with AIDET Communication Model in Perioperative Period of Patients Undergoing TRI-PCI |
| YANG Kaili, LIU Xiaopeng |
| Luoyang Dongfang People's Hospital,Luoyang Henan 471003 |
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Abstract 【Objective】To investigate the application effect of multidisciplinary team (MDT) collaboration combined with the AIDET communication model in the perioperative period of patients with coronary heart disease undergoing transradial approach for percutaneous coronary intervention (TRI-PCI). 【Methods】A total of 116 patients with coronary heart disease who underwent TRI-PCI in Luoyang Dongfang People's Hospital from May 2022 to May 2025 were selected. Patients were divided into a control group and an observation group by the random number table method, with 58 cases in each group. Patients in the control group received routine perioperative nursing, while those in the observation group received MDT combined with the AIDET communication model intervention on the basis of the control group. The puncture conditions (puncture success rate, puncture time, radial artery spasm, local hematoma, radial artery occlusion, and time to removal of hemostatic compression), coagulation function indicators [prothrombin time (PT), D-dimer (D-D), and fibrinogen degradation products (FDP)], and the incidence of postoperative complications were compared between the two groups. 【Results】There were no statistically significant differences in the incidences of radial artery spasm, local hematoma, or radial artery occlusion between the two groups (all P>0.05). The puncture success rate in the observation group was higher than that in the control group, while puncture time and time to removal of hemostatic compression were shorter than those in the control group, with statistically significant differences (all P<0.05). After intervention, PT, D-D, and FDP levels in both groups were lower than those before intervention; and the above indicators in the observation group were lower than those in the control group, with statistically significant differences (all P<0.05). The incidence of postoperative complications in the observation group was lower than that in the control group, and the difference was statistically significant (P<0.05). 【Conclusion】MDT collaboration combined with the AIDET communication model can significantly optimize the quality of perioperative management in patients undergoing TRI-PCI, enhance the puncture success rate, improve coagulation function, and reduce the incidence of postoperative complications.
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Received: 09 March 2026
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[1] 欧阳宇. 经桡动脉与经股动脉入路PCI术治疗高龄急性冠脉综合征的效果[J]. 心血管病防治知识, 2025, 15(21): 19-22. [2] 亓新玲, 王莉, 郭丽杰. 急性冠状动脉综合征患者介入治疗后桡动脉痉挛发生的高危因素分析[J]. 中国实用医刊,2023,50(10):68-71. [3] Scott B. Multidisciplinary team approach in cancer care: a review of the latest advancements featured at ESMO 2021[J]. EMJ Oncol, 2022, 10(Suppl 6): 2-11. [4] 艾菲拉·肖克来提,李晓东,张雪,等. AIDET沟通模式联合多学科协作护理模式在经尿道蓝激光汽化术患者围术期的应用效果[J]. 新疆医科大学学报,2025,48(6):852-857. [5] 中华医学会心血管病学分会介入心脏病学组, 中华医学会心血管病学分会动脉粥样硬化与冠心病学组, 中国医师协会心血管内科医师分会血栓防治专业委员会, 等. 稳定性冠心病诊断与治疗指南[J]. 中华心血管病杂志, 2018, 46(9): 680-694. [6] 中国心血管健康与疾病报告编写组. 《中国心血管健康与疾病报告》2021(冠心病部分内容)[J]. 心肺血管病杂志,2023,42(12):1191-1198. [7] 中国心血管健康与疾病报告编写组. 中国心血管健康与疾病报告2022概要[J]. 中国循环杂志, 2023, 38(6): 583-612. [8] FENG L, LI M, XIE W, et al. Prehospital and in-hospital delays to care and associated factors in patients with STEMI: an observational study in 101 non-PCI hospitals in China[J]. BMJ Open, 2019, 9(11): e031918. [9] 刘雅娟,郝尚婷,刘佳,等. 多学科团队协作护理对老年冠心病介入治疗患者心理状态及康复效果的影响[J]. 生命科学仪器,2023,21(6):127-130. [10] 中国心血管健康联盟心血管病护理及技术培训中心专家委员会, 国际血管联盟中国分部护理专业委员会, 陈务贤, 等. 经桡动脉介入诊疗患者术肢并发症预防及护理专家共识[J]. 介入放射学杂志, 2024, 33(5): 465-471. [11] 陈云云. 聚焦解决模式联合AIDET沟通模式对冠状动脉造影术前患者负性情绪及冠状动脉造影图像质量的效果[J]. 心血管病防治知识, 2024, 14(22): 82-85. [12] 康伟,李辉,牛琴. AIDET沟通模式结合接纳承诺疗法对经皮冠状动脉支架植入术患者的影响[J]. 中国医药导报,2023,20(1):98-102. [13] 马璐,秦庆祝,范晓青,等. 冠心病患者多学科健康管理效果及再住院时间预测模型构建[J]. 齐鲁护理杂志,2023,29(5):32. [14] 赵校含,马亚楠,刘瑞云,等. AIDET沟通模式在临床护理中的应用研究进展[J]. 护理研究,2023,37(6):1026-1030. |
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