多学科团队协作护理在糖尿病合并高血压患者中的应用

Application of Multidisciplinary Team Collaborative Care in Patients with Diabetes and Hypertension

目的:探讨多学科团队协作护理在糖尿病合并高血压患者中的应用效果。方法:以2019年8月1日~2021年8月31日收治的糖尿病合并高血压患者98例作为研究对象,根据随机数字表法分为对照组和实验组各49例,对照组采用常规护理,实验组采用多学科团队协作护理;比较两组护理前后自我管理行为[采用糖尿病患者自我管理行为量表(SDSCA)]、糖尿病综合控制情况[采用糖尿病控制量表(CSSD70)]、血糖[包括空腹血糖(FBG)、餐后2 h血糖(2 hPG)、糖化血红蛋白(HbA_(1)c)]及血压[包括收缩压(SBP)、舒张压(DBP)]水平变化情况。结果:护理后,两组SDSCA中饮食、运动、血糖监测、药物治疗、足部护理评分均高于护理前(P<0.01),且实验组高于对照组(P<0.01);护理后,两组CSSD70中并发自觉症状、生活习惯、治疗情况、生存技能、治疗目标、疾病知识评分均高于护理前(P<0.01),且实验组高于对照组(P<0.01,P<0.05);护理后,两组FBG、2 hPG、HbA_(1)c、SBP、DBP均优于护理前(P<0.01),且实验组优于对照组(P<0.01,P<0.05)。结论:多学科团队协作护理对糖尿病合并高血压患者自我管理行为、糖尿病控制均有改善效果,且平稳血压和血糖指标,提升治疗效果,加快患者恢复正常指标速率。

Objective:To explore the effect of multidisciplinary team cooperative care for patients with diabetes and hypertension.Methods:A total of 98 diabetic and hypertensive patients admitted from August 1,2019 to August 31,2021 were selected as the study subjects and were divided into the control and the experimental group according to the random number table method,with 49 cases each.The control group was given routine care,and the experimental group performed multidisciplinary team cooperation care.Self-care activities using the summary of diabetes self-care activities(SDSCA),diabetes control scale by Control Status Scale for Diabetics(CSSD70),and blood glucose ncluding fasting blood glucose(FBG),2 h postprandial blood glucose(2 hPG),glycosylated hemoglobin(HbA 1c)and blood pressure including systolic blood pressure(SBP)and diastolic pressure(DBP)level changes were compared between the two groups.Results:After nursing,the SDSCA scores such as diet,exercise,blood glucose monitoring,drug therapy,and foot care were higher in both groups than those before nursing(P<0.01),and those in the the experimental group were higher than those in the control group(P<0.01).After nursing,the CSSD70 scores such as concurrent self-conscious symptom,living habits,treatment,survival skills,treatment goals,and disease knowledge were higher in both groups than those before nursing(P<0.01),and those in the the experimental group were higher than those in the control group(P<0.01,P<0.05).After nursing,the FBG,2 hPG,HbA_(1)c,SP and DP were higher in both groups than those before nursing(P<0.01),and those in the the experimental group were higher than those in the control group(P<0.01,P<0.05).Conclusion:Multi-disciplinary team cooperation care can improve self-management behavior and diabetes control in patients with diabetes and hypertension,and stabilize blood pressure and blood glucose index,improve the treatment effect,and accelerate the rate of normal recovery of patients.