本文關(guān)鍵詞： 糖尿病 多學(xué)科協(xié)作 綜合治療 老年患者　出處：《醫(yī)學(xué)研究生學(xué)報》2016年12期 　論文類型：期刊論文

【摘要】：目的老年糖尿病的治療對良好整體的護(hù)理措施有著很高的要求,文中旨在探討多學(xué)科協(xié)作模式(multidisciplinary treatment,MDT)在老年糖尿病患者護(hù)理中的應(yīng)用價值。方法選取符合WHO診斷標(biāo)準(zhǔn)的老年糖尿病患者200例,MDT組105例,對照組95例,對照組采用常規(guī)護(hù)理,MDT組在常規(guī)護(hù)理基礎(chǔ)上聯(lián)合糖尿病�？啤⒗夏瓴】�、心血管科、營養(yǎng)科等多�？茀f(xié)作團(tuán)隊,各自到崗履行職責(zé)共同護(hù)理患者。制定個性化護(hù)理方案,以�？茷橹�,定期組織會診根據(jù)患者情況及時調(diào)整護(hù)理方案,由入院至出院后隨訪3個月。觀察2組患者住院時間、費用、糖尿病并發(fā)癥的發(fā)生以及護(hù)理滿意度。結(jié)果MDT組住院時間和住院費用均顯著低于對照組分別為[(8.2±1.7)vs(13.5±3.5)d和(42 067.7±6 372.1)vs(50 236.8±9 587.5)元],差異有統(tǒng)計學(xué)意義(P0.05);MDT組的患者滿意度高于對照組(95.2%vs 86.3%),(P0.01);MDT組并發(fā)癥的發(fā)生率為9.5%(高血糖占3.8%,低血糖占1%,跌倒占1%,局部褥瘡占1%)較對照組38.9%(高血糖占11.5%,低血糖占4.2%,跌倒占6.3%,局部褥瘡占6.3%)明顯降低,差異有統(tǒng)計學(xué)意義(P0.05)。結(jié)論 MDT運用到老年糖尿病護(hù)理中,優(yōu)于傳統(tǒng)的常規(guī)護(hù)理模式,縮短了患者住院時間及住院費用、延緩并發(fā)癥的發(fā)生發(fā)展并提高患者及其家屬的護(hù)理滿意度,進(jìn)而改善長遠(yuǎn)預(yù)后,提高老年糖尿病患者生活質(zhì)量。
[Abstract]:Objective the treatment of senile diabetes mellitus has a high demand for good holistic nursing measures. The purpose of this paper is to explore the value of multi-disciplinary cooperation model in nursing care of elderly diabetic patients. Methods 105 cases of senile diabetes mellitus group and 95 cases of control group were selected according to the diagnostic criteria of WHO. In the control group, the patients in the MDT group were treated by routine nursing, combined with diabetes, geriatrics, cardiovascular, nutrition and other multi-specialty cooperative teams, each of whom came to the post to take care of the patients together. The individualized nursing program was formulated. The nursing plan was adjusted according to the patient's condition by regular organization and consultation, and followed up for 3 months from admission to discharge. The hospitalization time and cost of the two groups were observed. Results the hospital stay time and hospitalization cost in MDT group were significantly lower than those in control group [8.2 鹵1.7 vs 13.5 鹵3.5 days and 42 067.7 鹵6 372.1 vs 50 236.8 鹵9 587.5) yuan, respectively]. The incidence of complications in the MDT group was 9.5in the control group (high blood glucose was 3.8, hypoglycemia was 3.8, hypoglycemia was 1, fall was 1, local bedsore was 1.) significantly lower than that in the control group (high blood glucose, low blood sugar, falling, falling, local bedsore, local bedsore, and local bedsore, respectively). Conclusion the application of MDT in the nursing care of senile diabetes mellitus is superior to the conventional nursing mode, and it can shorten the hospitalization time and the cost of hospitalization. To delay the occurrence and development of complications and improve the nursing satisfaction of patients and their families, and then improve the long-term prognosis, improve the quality of life of elderly patients with diabetes.
【作者單位】： 南京軍區(qū)南京總醫(yī)院干部病區(qū);江蘇省軍區(qū)門診部;南京軍區(qū)南京總醫(yī)院內(nèi)分泌科;南京軍區(qū)南京總醫(yī)院保健辦;
【分類號】：R473.5

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