多学科协助对Ⅱ型糖尿病合并肺结核患者心理痛苦程度影响

Effects of Multidisciplinary Assistance on Psychological Distress in Patients with TypeⅡ Diabetes Complicated with Pulmonary Tuberculosis

目的：探讨多学科协助对Ⅱ型糖尿病患者合并肺结核心理痛苦程度的影响。方法：将我院2015年1-12月100例Ⅱ型糖尿病合并肺结核的患者随机分组,对照组50例给予常规干预,观察组50例采用多学科协助,比较两组的遵医嘱行为、心理痛苦程度及治疗效果。结果：观察组在生活规律、遵医嘱治疗、消毒隔离等方面的遵医依从率分别为74.0%、84.0%、68.0%高于对照组的42.0%、60.0%、32.0%,差异有统计学意义（χ2=10.51,16.32,12.96;P〈0.05）。观察组在情感负担、医生相关痛苦、人际关系相关的痛苦,生活规律相关痛苦等方面的评分低于对照组,差异有统计学意义（t=-4.83,-6.94,-5.50,-3.31;P〈0.05）。观察组干预后6个月的病灶吸收程度为98.0%好于对照组的84.0%,差异有统计学意义（P〈0.05）。观察组干预后6个月的空腹血糖、餐后2h血糖低于对照组,差异有统计学意义（t=2.66,2.44;P〈0.05）。结论：多学科协助能够增强Ⅱ型糖尿病合并肺结核患者的遵医行为,提高治疗效果,减轻患者的心理痛苦程度。

Objective：To investigate the effect of multidisciplinary assistance on psychological distress in patients with typeⅡ diabetes mellitus complicated with pulmonary tuberculosis.Methods：A total of 100 cases of typeⅡ diabetes complicated with pulmonary tuberculosis in our hospital from January to December of 2015 were randomly divided into two groups,50 cases in control group were given routine nursing,and 50 cases in the observation group were given multidisciplinary assistance,and the two groups were compared of psychological pain degree,treatment compliance behavior and the effect.Results：The compliance behavior of the rules of life,adherence to treatment,disinfection and isolation in the observation group was respectively as 74.0%,84.0%,and 68.0% better than 42.0%,60.0%,and 32.0%in the control group,and the difference was statistically significant（χ2=10.51,16.32,12.96,P〈0.05）.The score of emotional burden,physician related pain,interpersonal relationship and rule of life were respectively lower in the observation group than that in in the control group,and the difference was statistically significant（t=-4.83,-6.94,-5.50,-3.31,P〈0.05）.Absorption degree of lesion in after 6 months of intervention in the observation group was 98.0%,better than 84.0%in the control group,and the difference was statistically significant（P〈0.05）.The fasting blood glucose,postprandial 2 hblood glucose after 6 months of intervention in the observation group was better than that in the control group（t=2.66,2.44,P〈0.05）.Conclusion：Multidisciplinary assistance can improve the compliance behavior and the therapeutic effects of patients with typeⅡ diabetes complicated with pulmonary tuberculosis,and reduce the degree of psychological distress.