Abstract:

Objective To evaluate the effect of multiple disciplinary team (MDT) in the treatment of massive hemoptysis of pulmonary tuberculosis.Methods A total of 200 patients with pulmonary tuberculosis complicated with massive hemoptysis admitted in Shanghai Pulmonary Hospital Affiliated to Tongji University from 2017 to 2018 were selected. Eighty-two out of 96 patients in 2017 who met the inclusion criteria were selected as control group which implemented conventional nursing, risk assessment of asphyxia and traditional treatment model (hemostasis, airway opening, vital sign monitoring, tracheal intubation, bronchial artery embolization). Ninty-seven out of 104 patients in 2018 who met the inclusion criteria were selected as observation group which implemented conventional nursing, risk assessment of asphyxia and MDT treatment model (MTD Team establishment, making routine and emergency consultation, establishing first aid process). SPSS 20.0 software was used to compare the χ ² test,t test and U test of the time of successful treatment, recurrence rate of hemoptysis, incidence of hemoptysis-related complications and hospitalization time between the two groups,and P<0.05 was considered to be statistically significant.Results After MDT treatment, the time of successful treatment for pulmonary tuberculosis complicated with massive hemoptysis was 100.0(88.5,119.2) h, the recurrence rate of hemoptysis after MDT treatment was 2.1% (2/97), the incidence of hemoptysis-related complications was 3.1% (3/97), the length of hospitalization was average(8.8±2.6) days, which was lower than control group (268.0(229.3,300.0) h, 14.6%(12/82), 13.4%(11/82),(15.4±4.3) d)(U=131.000,P=0.000;χ ²=8.276,P=0.004;χ ²=5.582,P=0.018;t=31.067,P=0.000)).Conclusion On the basis of ensuring the success of treatment, implementing of MDT treatment can shorten the time of successful treatment of pulmonary tuberculosis hemoptysis patients, reduce the recurrence rate of hemoptysis, reduce the occurrence of hemoptysis-related complications and shorten hospitalization time. It can be popularized in clinic.

Key words: Tuberculosis, pulmonary, Hemoptysis, Emergency medical services, Interdisciplinary communication, Clinical nursing research