多学科团队协作模式在糖尿病足介入手术患者护理中的应用价值

Application value of multi-disciplinary team collaboration mode in the nursing of patients with diabetic foot interventional surgery

目的:探讨多学科团队(MDT)协作模式在糖尿病足介入手术患者护理中的临床应用效果。方法:选取2017年10月至2018年10月中国人民解放军东部战区空军医院收治行糖尿病足介入手术治疗的患者109例,以随机数字表法分为对照组(55例)和观察组(54例),观察组采取MDT护理模式,对照组采取常规护理模式。对比两组患者住院时间、住院费用,糖化血红蛋白指标变化,术后并发症发生率,焦虑、抑郁情绪变化,健康教育效果和护理满意度情况。结果:观察组住院时间和住院费用明显低于对照组,差异有统计学意义(P<0.05);观察组和对照组糖化血红蛋白水平入院时比较差异无统计学意义(P>0.05),经住院期间护理后,出院时两组糖化血红蛋白水平均低于入院时,差异有统计学意义(P<0.05),且观察组糖化血红蛋白降低量相较于对照组更显著,差异有统计学意义(P<0.05);观察组术后并发症发生率明显低于对照组,差异有统计学意义(P<0.05);观察组和对照组焦虑、抑郁评分入院时差异无统计学意义(P>0.05),经住院期间护理后,出院时两组的焦虑、抑郁评分均低于入院时,差异有统计学意义(P<0.05),且观察组焦虑、抑郁评分降低量相较于对照组更显著,差异有统计学意义(P<0.05);观察组的健康教育效果得分和护理满意度得分均明显高于对照组,差异有统计学意义(P<0.05)。结论:MDT协作模式在糖尿病足介入手术患者护理中的应用可缩短患者的住院时间,降低住院费用,改善患者血糖水平的控制,降低术后并发症发生率,增强患者对健康教育知识的掌握和护理满意度,减轻患者的心理负担,协助临床总体疗效的提高,改善患者生活质量。

Objective:To explore the clinical application value of multi-disciplinary team(MDT)collaborative mode in the nursing of patients with diabetic foot interventional surgery.Methods:A total of 109 patients who underwent interventional surgery for diabetic foot in Chinese People’s Liberation Army’Air Force Hospital of Eastern Theater from October 2017 to October 2018 were enrolled.The patients were randomly divided into the control group(55 cases)and the observation group(54 cases).The observation group took MDT nursing mode,and the control group took the regular care mode.The hospitalization time,hospitalization cost,glycosylated hemoglobin index level,postoperative complication rate,anxiety alteration,depression mood fluctuation,health education effect and nursing satisfaction were compared between the two groups.Results:The hospitalization time and hospitalization cost of the observation group were lower than the control group with the difference being statistically significant(P<0.05).There was no significant difference between the observation group and the control group in the glycosylated hemoglobin level when patients were admitted to the hospital(P>0.05).After nursing,the levels of glycosylated hemoglobin in the two groups were lower than those at the time of admission(P<0.05),and the decreased amount of glycosylated hemoglobin in the observation group was higher than that in the control group after nursing,with the difference being statistically significant(P<0.05).The incidence of postoperative complications was significantly lower than that of the control group(P<0.05).There was no significant difference in the anxiety and depression scores between the observation group and the control group when patients were admitted to the hospital(P>0.05).After nursing,the anxiety and depression scores of the two groups were lower than those at the time of admission,and the difference was statistically significant(P<0.05).The decreased amount of anxiety and depression scores of the observation group were higher than the control group after nursing,with the difference being statistically significant(P<0.05).The health education effect score and nursing satisfaction score of the observation group were significantly higher than the control group,and the difference was statistically significant(P<0.05).Conclusion:The application of MDT collaboration mode in the nursing of patients with diabetic foot intervention surgery could shorten the hospitalization time,reduce the hospitalization cost,better the moderation of blood glucose level,reduce the incidence rate of postoperative complications,and enhance the patient’s knowledge of health education and nursing satisfaction,lower the psychological burden of patients,help improving the overall clinical efficacy,and ameliorate the quality of life of patients.