多学科协作护理对糖尿病合并高血压病患者护理满意度的影响

Effect of multidisciplinary collaborative care on nursing satisfaction in patients with diabetes and hypertension

目的探讨在糖尿病伴随高血压患者中实施多学科协作护理的效果与对患者满意度的影响。方法随机选取2020年11月-2022年11月于武义县桃溪镇中心卫生院就诊的90例糖尿病伴随高血压患者作为研究对象,采用抛硬币机制分组,分为协作组与对照组,每组各45例。对照组开展常规护理,协作组开展多学科协作护理。比较两组护理满意度、生活质量以及护理前后的自我管理能力、血压和血糖控制水平变化。结果协作组护理满意度(97.78%)明显高于对照组(84.44%),组间差异统计学意义明显(P<0.05)。协作组躯体功能、心理功能、社会功能、物质生活等评分均高于对照组,组间差异统计学意义明显(P<0.05)。护理前,协作组与对照组糖尿病自我管理能力和高血压自我管理能力经对比无明显差异(P>0.05);护理后,协作组糖尿病自我管理能力和高血压自我管理能力明显优于对照组,组间差异统计学意义明显(P<0.05)。护理前,协作组与对照组血压水平均偏高,组间差异统计学意义不明显(P>0.05);护理后,协作组血压水平接近理想血压值且低于对照组,组间差异统计学意义明显(P<0.05)。护理前,协作组与对照组血糖水平均偏高,经对比无明显差异(P>0.05);护理后,协作组血糖水平接近正常值且低于对照组,组间差异明显(P<0.05)。结论糖尿病合并高血压患者在多学科协作护理下提高了对护理工作的满意度,对血压以及血糖水平的控制起到显著的效果,患者的自我管理能力有一定提升。

Objective To investigate the effect of multidisciplinary nursing and the intervention results on patient satisfaction in patients with diabetes mellitus and hypertension.Methods A total of 90 patients with diabetes and hypertension who visited our hospital from November 2020 to November 2022 were randomly collected and grouped into a collaborative group and a control group,with 45 cases each.The control group carried out routine nursing,and the collaborative group carried out multidisciplinary collaborative nursing.Nursing satisfaction,quality of life,pre-and post-nursing self-management ability,blood pressure and glycemic control levels were compared between the two groups.Results Nursing satisfaction in the collaborative group(97.78%)was significantly higher than that in the control group(84.44%),and the difference between the groups was statistically significant(P<0.05).The scores of physical function,psychological function,social function,and material life in the collaborative group were higher than those in the control group,and the difference between the groups was statistically significant(P<0.05).Before nursing,there were no significant differences in diabetes self-management ability and hypertension self-management ability between the collaborative group and the control group,and the difference between the groups was not statistically significant(P>0.05),and after nursing,the diabetes self-management ability and hypertension self-management ability of the collaborative group were significantly higher than those in the control group,and the difference between the groups was statistically significant(P<0.05).Before nursing,the blood pressure levels in the collaborative group and the control group were both relatively high,and there was no significant difference after comparison,the difference between the groups was not statistically significant(P>0.05);after nursing,the blood pressure level in the collaborative group was close to the ideal blood pressure value and lower than that in the control group,with statistically significant differences between the groups(P<0.05).Before nursing,the average blood glucose levels in the collaborative group and the control group were relatively high,and there was no significant difference after comparison,the difference between the groups was not statistically significant(P>0.05);after nursing,the blood glucose levels in the collaborative group were close to normal and lower than those in the control group,with statistically significant differences between the groups(P<0.05).Conclusion Under multidisciplinary nursing care,diabetes patients with hypertension have improved their satisfaction with nursing work.The control of blood pressure and blood sugar level has played a significant role,and patients'self-management ability has improved to a certain extent.