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已发表论文
护士指导、家庭参与的个体化围手术期管理MDT模式在老年心脏手术患者中的应用
Authors Cao M, Wang T , Tang Y, Wang J , Jin S
Received 16 September 2025
Accepted for publication 20 January 2026
Published 24 January 2026 Volume 2026:19 568010
DOI https://doi.org/10.2147/JMDH.S568010
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 2
Editor who approved publication: Professor Charles V Pollack
Miaomiao Cao,1 Tingting Wang,2 Yangchen Tang,3 Juan Wang,3 Song Jin3
1Department of Cardiac Surgery, the First Affiliated Hospital of USTC, Hefei, 230001, People’s Republic of China; 2Department of Cardiology, the First Affiliated Hospital of USTC, Hefei, 230001, People’s Republic of China; 3Department of Geriatrics, the First Affiliated Hospital of USTC, Hefei, 230001, People’s Republic of China
Correspondence: Song Jin, Department of Geriatrics, the First Affiliated Hospital of USTC, No. 1, Tianehu Road, Zhengwu District, Hefei, Anhui, 230001, People’s Republic of China, Tel +86-15395014716, Email jinsong23@126.com
Introduction: This study evaluated a novel multidisciplinary team (MDT) approach—integrating nurse guidance, family involvement, and individualized perioperative care—on outcomes in older cardiac surgery patients.
Methods: A retrospective analysis included 198 patients aged ≥ 60 years (99 conventional care, 99 MDT) from November 2021 to January 2024. Outcomes included pneumonia, delirium, functional recovery (Barthel Index), and hospitalization metrics.
Results: : Baseline characteristics were comparable. The MDT group had significantly shorter ICU stay (2.5± 1.9 vs 3.7± 4.8 days, p=0.019) and lower pneumonia incidence (29.3% vs 60.6%, p< 0.001). Total hospital stay and delirium rates did not differ significantly, but the MDT group showed a trend toward greater functional improvement (Barthel change: 20.6± 13.9 vs 15.6± 22.6).
Conclusion: The MDT model significantly improved critical postoperative outcomes, notably reducing ICU stay and pneumonia. These results advocate for nurse-led, family-centered multidisciplinary care in geriatric surgery, warranting further prospective validation.
Keywords: nursing, older adults, multidisciplinary team, perioperative, cardiac surgery
1Department of Cardiac Surgery, the First Affiliated Hospital of USTC, Hefei, 230001, People’s Republic of China; 2Department of Cardiology, the First Affiliated Hospital of USTC, Hefei, 230001, People’s Republic of China; 3Department of Geriatrics, the First Affiliated Hospital of USTC, Hefei, 230001, People’s Republic of China
Correspondence: Song Jin, Department of Geriatrics, the First Affiliated Hospital of USTC, No. 1, Tianehu Road, Zhengwu District, Hefei, Anhui, 230001, People’s Republic of China, Tel +86-15395014716, Email jinsong23@126.com
Introduction: This study evaluated a novel multidisciplinary team (MDT) approach—integrating nurse guidance, family involvement, and individualized perioperative care—on outcomes in older cardiac surgery patients.
Methods: A retrospective analysis included 198 patients aged ≥ 60 years (99 conventional care, 99 MDT) from November 2021 to January 2024. Outcomes included pneumonia, delirium, functional recovery (Barthel Index), and hospitalization metrics.
Results: : Baseline characteristics were comparable. The MDT group had significantly shorter ICU stay (2.5± 1.9 vs 3.7± 4.8 days, p=0.019) and lower pneumonia incidence (29.3% vs 60.6%, p< 0.001). Total hospital stay and delirium rates did not differ significantly, but the MDT group showed a trend toward greater functional improvement (Barthel change: 20.6± 13.9 vs 15.6± 22.6).
Conclusion: The MDT model significantly improved critical postoperative outcomes, notably reducing ICU stay and pneumonia. These results advocate for nurse-led, family-centered multidisciplinary care in geriatric surgery, warranting further prospective validation.
Keywords: nursing, older adults, multidisciplinary team, perioperative, cardiac surgery