多学科协作综合医疗在消化门诊患者负面情绪改善中的应用分析

Analysis of application of multidisciplinary teamwork in the improvement of negative emotions in gastroenterology outpatients

目的探讨多学科协作综合医疗(MDT)在消化门诊患者负面情绪改善的效果。方法将我院门诊2017年7~12月就诊的80例伴心理障碍消化疾病患者作为研究组,2017年1~6月就诊的75例伴心理障碍消化疾病患者作为对照组。对照组接受传统诊疗服务,研究组采用MDT模式干预,比较两组的效果。结果研究组治疗后的焦虑自评量表(SAS)评分及抑郁自评量表(SDS)评分均显著低于治疗前(P<0.001);研究组治疗后的SAS及SDS评分均显著低于对照组(P<0.01);对照组治疗后的SF-36总分高于治疗前,研究组治疗后的生理功能(PF)、总体健康(GH)、活力(VT)、精神健康(MH)及总分显著高于治疗前(P<0.05);研究组治疗后的GH、VT、MH及总分均显著高于对照组,差异均有统计学意义(P<0.05)。结论 MDT模式在消化门诊应用可显著改善患者的负面情绪,提升健康状况。

Objective To explore the effect of multidisciplinary teamwork（MDT） in improvement of negative emotions in gastroenterology outpatients.Methods Altogether 80 patients with digestive diseases accompanied by mental disorder who were treated in outpatient department of gastroenterology of our hospital from July to December in 2017 were selected as the study group;another 75 patients with digestive diseases accompanied by mental disorder who were treated in our hospital from January to June 2017,were selected as the control group.The control group was received traditional diagnosis and treatment service;while,the study group were treated with MDT mode intervention.The effect was compared between the two groups.Results The post-treatment self-rating anxiety scale（SAS） and self-rating depression scale（SDS） scores of the study group were significantly lower than those before treatment（P〈0.001）.The SAS and SDS scores of the study group were significantly lower than those of the control group（P 0.01）.The post-treatment total score of SF-36（36-item short form health survey） of the control group was higher than that before the treatment.The post-treatment physical functioning（PF）,general health（GH）, vitality（VT）,mental health（MH） and total score of the study group were significantly higher than those before the treatment（P〈0.05）.The post-treatment GH,VT,MH and total score of the study group were significantly higher than those of control group after treatment,the differences were statistically significant（P〈0.05）.Conclusion Application of MDT mode in outpatient department of gastroenterology can significantly improve patient′s negative emotions and improve their health.