目的：探讨多学科协作(MDT)模式联合无缝隙护理干预对心脏瓣膜置换术后患者的影响。方法：选取我院2021年1月至2021年12月心脏瓣膜置换术后患者132例,以不同护理方案分为两组,每组66例。对照组予以常规护理,在对照组基础上观察组予以MDT模式联合无缝隙护理。比较两组入院时、术后第3d的应激反应；并发症发生率；入院时、出院前1d的康复效果；护理满意度。结果：术后第3d观察组心率、收缩压、舒张压低于对照组(P＜0.05)；观察组并发症发生率6.06%(4/66)低于对照组18.18%(12/66)(P＜0.05)；出院前1d观察组正常R-R间期标准差、左心室射血分数(LVEF)、全程5min段R-R间期标准差、6 min步行距离(6MWT)优于对照组(P＜0.05)；观察组护理满意率96.97%(64/66)高于对照组83.33%(55/66)(P＜0.05)。结论：心脏瓣膜置换术后患者采用MDT模式联合无缝隙护理干预后,其并发症发生情况、术后康复效果均显著改善,另外,患者术后的应激反应减轻,护理满意度有明显提高。

Objective: To investigate the impact of multidisciplinary collaboration (MDT) model combined with seamless nursing intervention on patients after heart valve replacement. Methods: One hundred and thirty-two patients after heart valve replacement in our hospital from January 2021 to December 2021 were selected and divided into two groups with different nursing protocols, 66 cases in each group. The control group was given conventional care, and the observation group was given MDT mode combined with seamless care on the basis of the control group. The two groups were compared in terms of stress response at admission and the 3rd d postoperative; complication rate; rehabilitation effect at admission and 1 d before discharge; and nursing satisfaction. Results: Heart rate, systolic blood pressure and diastolic blood pressure in the observation group were lower than those in the control group in the 3d postoperative period (P < 0.05); complication rate in the observation group was 6.06% (4/66) lower than that in the control group, 18.18% (12/66) (P < 0.05). The standard deviation of normal R-R interval, left ventricular ejection fraction (LVEF), standard deviation of R-R interval in the whole 5-min segment, and 6-min walking distance (6MWT) were better in the observation group than in the control group 1 d before discharge (P < 0.05); the satisfaction rate of nursing care in the observation group was 96.97% (64/66) than in the control group 83.33% (55/66) (P < 0.05). Conclusion: The MDT model combined with seamless nursing interventions for patients after heart valve replacement resulted in significant improvements in the occurrence of complications and postoperative rehabilitation, in addition to reduced postoperative stress and significant improvements in patient satisfaction with care.