以联络护士为主导的MDT管理模式在院内血糖管理的应用研究

Research on the Application of MDT Management Model Led by Contact Nurses in Intrahospital Blood Glucose Management

目的探讨以联络护士为主导的多学科综合治疗(MDT)管理模式在院内血糖管理的应用效果。方法选择我院2023年6月至2024年3月收治的非内分泌科住院糖尿病患者200例为研究对象。根据患者不同血糖管理方法,将其分为观察组(100例,采用以联络护士为主导的MDT血糖管理模式)与对照组(100例,采用常规血糖管理模式)。比较两组护理前后空腹血糖(FBG)、2 h餐后血糖(2hPG)、糖化血红蛋白(HbA1c)检测结果及达标率,平均血糖值(Ave)、血糖值标准差(SD)及血糖变异系数(CV)等血糖稳定性指标,胰岛素的相关知识和使用方法的知晓情况评分,住院期间并发症发生率及医疗费用。结果护理后,两组患者FBG、2hPG、HbA1c水平较护理前均降低,对胰岛素的相关知识和使用方法的知晓情况评分较护理前均升高(P<0.05);但观察组患者护理后FBG、2hPG、HbA1c水平均低于对照组,护理后FBG、2hPG、HbA1c达标率及对胰岛素的相关知识和使用方法的知晓情况评分均高于对照组,Ave、SD及CV水平均低于对照组(P<0.05);观察组患者住院期间并发症发生率、医疗费用均低于对照组(P<0.05)。结论以联络护士为主导的MDT血糖管理模式有助于提升糖尿病患者自我认知与管理水平,改善患者血糖控制水平,提高血糖控制达标率,减少临床并发症,降低住院期间的医疗费用。

Objective To explore the application effect of the multi-disciplinary treatment(MDT)model led by contact nurses in hospital blood glucose management.Methods A total of 200 patients with diabetes admitted to our hospital from June 2023 to March 2024 were selected as the study subjects.According to the different blood glucose management methods of patients,they were divided into an observation group(100 cases,using MDT blood glucose management mode led by contact nurses)and a control group(100 cases,using conventional blood glucose management mode).The results and targeting the goalrates of fasting blood glucose(FBG),2-hour postprandial glucose(2hPG),glycated hemoglobin(HbA1c),mean blood glucose(Ave),standard deviation of blood glucose(SD),and blood glucose variability(CV)before and after nursing between two groups were compared.The awareness of insulin related knowledge and usage,incidence of complications during hospitalization,and medical expenses were evaluated.Results After nursing,the levels of FBG,2hPG,and HbA1c in both groups of patients decreased compared to before nursing,and the scores of their knowledge and usage of insulin increased compared to before nursing(P<0.05),after nursing,the FBG,2hPG,and HbA1c levels of the observation group patients were lower than those of the control group on average.The targeting the goal of FBG,2hPG,HbA1c,and awareness of insulin related knowledge and usage methods were higher in the observation group than in the control group.The levels of Ave,SD,and CV were all lower than those of the control group(P<0.05);The total incidence of complications and medical expenses during hospitalization in the observation group were lower than those in the control group(P<0.05).Conclusions The MDT blood glucose management model led by liaison nurses is helpful to improve the self cognition and management level of diabetes patients,improve the blood glucose control level of patients,increase the rate of blood glucose control reaching the standard,reduce clinical complications,and reduce medical costs during the hospital stay.