SBAR结合MDT管理模式对门诊超重糖尿病患者的干预研究

Intervention Study of SBAR Combined with MDT Management Mode on Overweight Diabetic Outpatients

目的:探讨SBAR结合MDT管理模式对门诊超重糖尿病患者的干预效果。方法:选取萍乡市人民医院2019年1-11月收治的100例门诊超重糖尿病患者作为研究对象,按照随机数字表法将其分为观察组(n=50)和对照组(n=50),对照组采用常规门诊管理,观察组采用SBAR结合MDT管理模式,比较两组管理前、管理3、6、12个月时空腹血糖(FBG)、餐后2 h血糖(2 h PG)、糖化血红蛋白(HbA1c)、甘油三酯(TG)、总胆固醇(TC)、腰围(WC)、体重指数(BMI)以及自我行为管理能力。结果:管理12个月时,观察组FBG、2 h PG均低于对照组,差异均有统计学意义(P<0.05);观察组HbA1c低于对照组,差异有统计学意义(P<0.05);观察组TC、TG均低于对照组,差异均有统计学意义(P<0.05);观察组WC、BMI均低于对照组,差异均有统计学意义(P<0.05);观察组SDSCA评分高于对照组,差异有统计学意义(P<0.05)。结论:SBAR结合MDT管理模式对门诊超重糖尿病患者具有明显作用,可提高血糖及体重控制效果,提高患者自我行为管理能力,临床应用价值高。

Objective:To explore the intervention effect of SBAR combined with MDT management mode on overweight diabetic outpatients.Method:A total of 100 outpatients with overweight diabetes mellitus in Pingxiang People’s Hospital from January to November 2019 were selected and divided into observation group(n=50)and control group(n=50)by random number table method.The control group was treated with routine outpatient management,and the observation group was treated with SBAR combined with MDT management mode.Fasting blood glucose(FBG),2 h postprandial blood glucose(2 h PG),glycosylated hemoglobin(HbA1c),triglyceride(TG),total cholesterol(TC),waist circumference(WC),body mass index(BMI)and self-behavior management ability were compared between the two groups before management,3 months,6 months and 12 months after management.Result:After 12 months of management,FBG and 2 h PG in the observation group were lower than those in the control group(P<0.05);HbA1c in the observation group was lower than that in the control group(P<0.05);TC and TG in the observation group were lower than those in the control group(P<0.05);WC and BMI in the observation group were lower than those in the control group(P<0.05);SDSCA score in the observation group was higher than that in the control group,the difference was statistically significant(P<0.05).Conclusion:SBAR combined with MDT management mode has a significant effect on overweight diabetic outpatients,which can improve the effect of blood glucose and weight control,improve the self behavior management ability of patients,and has high clinical application value.