多学科协作延续护理在糖尿病视网膜病变患者中的应用价值评估

Evaluation of Application Value of Multidisciplinary Collaborative Continuous Nursing in Patients with Diabetes Retinopathy

目的探讨多学科协作(multidisciplinary team,MDT)延续护理在糖尿病视网膜病变(diabeticretinopathy,DR)患者中的应用价值。方法选取2021年4月—2023年4月济南市第二人民医院收治的90例DR患者,根据不同护理方法分为对照组和观察组,各45例。对照组实施常规出院护理,观察组在对照组基础上实施基于MDT的延续护理。比较两组自我护理能力(饮食控制、遵医嘱服药、血糖监测、规律运动、足部护理、预防及处理高血糖)评分、血糖指标[餐后2 h血糖(2 hour postprandial blood glucose,2 hPBG)、空腹血糖(fasting blood glucose,FBG)、糖化血红蛋白(glycated hemoglobin A1c,HbA1c)]及生活质量(环境、社会关系、生理、心理)评分。结果出院后6个月,观察组自我护理能力评分均高于对照组,观察组2 hPBG、FBG、HbAlc均低于对照组,生活质量评分均高于对照组,差异有统计学意义(P均<0.05)。结论针对DR患者开展基于MDT的延续护理,提高自我护理能力,促使患者遵循饮食、用药、监测、运动、预防等行为,有效血糖控制,提高生活质量。

Objective To explore the application value of multidisciplinary team(MDT)continuous nursing in patients with diabetic retinopathy(DR).Methods A total of 90 patients with DR admitted to Jinan Second People's Hospital from April 2021 to April 2023 were selected and divided into control group and observation group according to differ⁃ent nursing methods,with 45 cases in each group.The control group received routine discharge nursing,and the obser⁃vation group received continuous nursing based on MDT on the basis of the control group.The scores of self-care abil⁃ity(diet control,medication compliance,blood glucose monitoring,regular exercise,foot care,prevention and treat⁃ment of hyperglycemia)and blood glucose index[2-hour postprandial blood glucose(2 hPBG),fasting blood glucose(FBG),glycated hemoglobin A1c(HbA1c)]and quality of life scores(environment,social relations,physiology,psy⁃chology)were compared between the two groups.Results Six months after discharge,the scores of self-care ability in the observation group were higher than those in the control group,the 2 hPBG,FBG and HbA1c in the observation group were lower than those in the control group,and the scores of quality of life in the observation group were higher than those in the control group,the differences were statistically significant(all P<0.05).Conclusion To carry out con⁃tinuous nursing based on MDT for DR patients,improve self-care ability,promote patients to follow diet,medication,monitoring,exercise,prevention and other behaviors,effectively control blood glucose and improve quality of life.