多学科协作模式在老年糖尿病患者护理中的应用

发布时间：2018-02-21 21:48

本文关键词： 糖尿病多学科协作综合治疗老年患者　出处：《医学研究生学报》2016年12期 　论文类型：期刊论文

【摘要】：目的老年糖尿病的治疗对良好整体的护理措施有着很高的要求,文中旨在探讨多学科协作模式(multidisciplinary treatment,MDT)在老年糖尿病患者护理中的应用价值。方法选取符合WHO诊断标准的老年糖尿病患者200例,MDT组105例,对照组95例,对照组采用常规护理,MDT组在常规护理基础上联合糖尿病专科、老年病科、心血管科、营养科等多专科协作团队,各自到岗履行职责共同护理患者。制定个性化护理方案,以专科为主,定期组织会诊根据患者情况及时调整护理方案,由入院至出院后随访3个月。观察2组患者住院时间、费用、糖尿病并发症的发生以及护理满意度。结果MDT组住院时间和住院费用均显著低于对照组分别为[(8.2±1.7)vs(13.5±3.5)d和(42 067.7±6 372.1)vs(50 236.8±9 587.5)元],差异有统计学意义(P0.05);MDT组的患者满意度高于对照组(95.2%vs 86.3%),(P0.01);MDT组并发症的发生率为9.5%(高血糖占3.8%,低血糖占1%,跌倒占1%,局部褥疮占1%)较对照组38.9%(高血糖占11.5%,低血糖占4.2%,跌倒占6.3%,局部褥疮占6.3%)明显降低,差异有统计学意义(P0.05)。结论 MDT运用到老年糖尿病护理中,优于传统的常规护理模式,缩短了患者住院时间及住院费用、延缓并发症的发生发展并提高患者及其家属的护理满意度,进而改善长远预后,提高老年糖尿病患者生活质量。
[Abstract]:Objective the treatment of senile diabetes mellitus has a high demand for good holistic nursing measures. The purpose of this paper is to explore the value of multi-disciplinary cooperation model in nursing care of elderly diabetic patients. Methods 105 cases of senile diabetes mellitus group and 95 cases of control group were selected according to the diagnostic criteria of WHO. In the control group, the patients in the MDT group were treated by routine nursing, combined with diabetes, geriatrics, cardiovascular, nutrition and other multi-specialty cooperative teams, each of whom came to the post to take care of the patients together. The individualized nursing program was formulated. The nursing plan was adjusted according to the patient's condition by regular organization and consultation, and followed up for 3 months from admission to discharge. The hospitalization time and cost of the two groups were observed. Results the hospital stay time and hospitalization cost in MDT group were significantly lower than those in control group [8.2 卤1.7 vs 13.5 卤3.5 days and 42 067.7 卤6 372.1 vs 50 236.8 卤9 587.5) yuan, respectively]. The incidence of complications in the MDT group was 9.5in the control group (high blood glucose was 3.8, hypoglycemia was 3.8, hypoglycemia was 1, fall was 1, local bedsore was 1.) significantly lower than that in the control group (high blood glucose, low blood sugar, falling, falling, local bedsore, local bedsore, and local bedsore, respectively). Conclusion the application of MDT in the nursing care of senile diabetes mellitus is superior to the conventional nursing mode, and it can shorten the hospitalization time and the cost of hospitalization. To delay the occurrence and development of complications and improve the nursing satisfaction of patients and their families, and then improve the long-term prognosis, improve the quality of life of elderly patients with diabetes.
【作者单位】：南京军区南京总医院干部病区;江苏省军区门诊部;南京军区南京总医院内分泌科;南京军区南京总医院保健办;
【分类号】：R473.5

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