基于MDT模式的认知干预延续护理对肺结核合并2型糖尿病患者疾病知信行水平、自我管理能力、自我效能感及生活质量的影响

Effects of MDT-based cognitive intervention continuous care on disease knowledge,belief and action mode level,self-management ability,self-efficacy and quality of life in patients with pulmonary tuberculosis complicated with type 2 diabetes

目的:为肺结核合并2型糖尿病(PTB-T2DM)患者提供基于MDT模式的认知干预延续护理,探究应用效果。方法:选取2018年9月至2020年9月期间山东省聊城市传染病医院收治90例PTB-T2DM患者,按照组间基础资料具有匹配性的原则分组,对照组45例采取常规护理,观察组45例则运用基于MDT模式的认知干预延续护理干预,比较干预前、干预3个月后两组的知信行水平、自我管理能力、自我效能及生活质量。对比治疗效果。结果:干预前,两组自我管理KAB评价简化量表、自护能力评价量表(ESCA)、一般自我效能感量表(GSES)量表评分的差异无统计学意义(P>0.05)。干预后,观察组KAB评价简表知识、态度、行为3个分量表的评分、ESCA量表4维度评分与总分、GSES量表得分、治疗总有效率、SF-36量表评分显著高于对照组患者(P<0.05)。结论:为PTB-T2DM患者采取MDT模式下的延续性护理进行认知干预能取得较好效果,提升患者的知信行水平与自我管理能力,增强自我效能感,改善其生活质量。

Objective:To explore the cognitive intervention based on the pattern of MDT continuation of care for pulmonary tuberculosis in type 2 diabetes mellitus(PTB-T2DM)patients in the application effect.Methods:In September 2018 to September 2020 issue of the hospital treated 90 cases of PTB-T2DM patients with the research object,according to the principle of basic data has matching between groups.Forty-five patients in the control group received routine nursing,while 45 patients in the observation group received continuous nursing intervention based on MDT mode.The knowledge,belief and action mode level,self-management ability,self-efficacy and life quality of the two groups were compared before intervention and 3 months after intervention.The therapeutic effect was compared.Results:Before intervention,two groups of self-management KAB evaluation scale,exercise of self-care agency(ESCA),general self-efficacy scale(GSES)score there was no statistically significant difference comparing(P>0.05).After the intervention,the observation group's the knowledge,attitude and behavior of three subscales score,ESCA scale 4 dimension score and total score,GSES scale score,total effective treatment,the MOS 36-item short form health survey(SF-36)scores were significantly higher than the control group,and the differences were statistically significant(P<0.05).Conclusions:For PTB-T2DM patients with MDT mode the continuity of care was taken to the cognitive intervention can obtain good effect,improve the patient's level of knowledge and self management ability,enhance self-efficacy,improve their quality of life.