The impact of multidisciplinary collaboration under the ERAS concept on the quality of phase Ⅰ cardiac rehabilitation nursing for patients with Stanford type A aortic dissection
ERAS理念的多学科协作对Stanford A型主动脉夹层患者Ⅰ期心脏康复护理质量的影响

摘要

目的 探讨加速康复外科（ERAS）理念下多学科协作（MDT）模式在Stanford A型主动脉夹层患者Ⅰ期心脏康复护理中的应用效果，为优化此类高危患者康复护理方案提供实践依据。方法 选取2024年10月-2025年9月医院收治的90例Stanford A型主动脉夹层患者，按护理模式不同分为对照组与观察组，每组45例，对照组采用传统常规康复护理模式，观察组实施ERAS理念指导下的多学科协作康复护理模式，组建由心脏外科、麻醉科、康复医学科、营养科、心理科及护理团队构成的MDT小组，制定个性化康复护理方案。比较两组患者康复相关指标及并发症发生率。结果 观察组患者首次下床活动时间、ICU停留时间、住院总天数均显著短于对照组，差异具有统计学意义（P<0.05）；观察组患者并发症发生率显著低于对照组，差异具有统计学意义（P<0.05）。结论 ERAS理念下的多学科协作模式可有效缩短Stanford A型主动脉夹层患者Ⅰ期康复进程，降低并发症风险，提升护理满意度，对改善患者预后具有重要临床价值。

Abstract

Objective To explore the application effect of the multidisciplinary collaboration (MDT) model under the ERAS concept in the first-stage cardiac rehabilitation nursing of patients with Stanford type A aortic dissection, and to provide practical basis for optimizing the rehabilitation nursing plan for such high-risk patients.
Methods 90 patients with Stanford type A aortic dissection admitted to the hospital from October 2024 to September 2025 were selected and divided into the control group and the observation group according to different nursing models, with 45 cases in each group. The control group received traditional routine rehabilitation nursing, while the observation group implemented the ERAS concept-guided multidisciplinary collaboration rehabilitation nursing model. A MDT team composed of cardiac surgery, anesthesiology, rehabilitation medicine, nutrition, psychology, and the nursing team was established to formulate individualized rehabilitation nursing plans. The rehabilitation-related indicators and complication rates of the two groups were compared.
Results The first-time ambulation time, ICU stay time, and total hospitalization days of the observation group were significantly shorter than those of the control group, and the differences were statistically significant (P<0.05); the complication rate of the observation group was significantly lower than that of the control group, and the differences were statistically significant (P<0.05);
Conclusion   The multidisciplinary collaboration model under the ERAS concept can effectively shorten the rehabilitation process of patients with Stanford type A aortic dissection in the first stage, reduce the risk of complications, improve nursing satisfaction, and have important clinical value in improving the prognosis of patients.