摘要
目的 探讨专科护士主导的多学科团队(multidisciplinary team,MDT)协作延续性护理在糖尿病足患者中的应用效果。方法 选取2024年1—8月在医院内分泌科住院的100例糖尿病足患者为研究对象,按照组间基线资料具有可比性的原则将其分为观察组和对照组,每组50例。对照组行常规管理,观察组实施专科护士主导的MDT协作延续性护理模式。该模式将随访护士、内分泌科医师、营养师、介入医师、伤口造口护士、心理咨询师、足病专家等各类专业人员组织起来,围绕糖尿病足患者的治疗、康复、生活指导等对患者进行全面的综合干预。比较两组患者足部溃疡治疗有效率、截趾(肢)率、住院天数、出院满意率、糖尿病自我管理行为和再住院率。结果 观察组患者足部溃疡治疗有效率、出院满意率高于对照组,差异有统计学意义(P<0.05);观察组患者住院天数少于对照组,截趾(肢)率及出院后6个月内再入院率低于对照组,差异有统计学意义(P<0.05)。出院后6个月,观察组患者自我管理行为总分及相关维度得分均高于对照组,差异有统计学意义(P<0.05)。结论 专科护士主导的MDT协作延续性护理能够提高糖尿病足患者的治疗效果和预后,可有效改善患者自我管理行为,并减少再住院率。
Objective To explore the application effect of multidisciplinary team(MDT)collaborative continuity care led by specialist nurses in patients with diabetic foot.Methods A total of 100 patients with diabetic foot who were hospitalized in the Department of Endocrinology at the hospital from January to August 2024 were selected as the research subjects.According to the principle of comparability of baseline data between the groups,they were divided into an observation group and a control group,with 50 cases in each group.The control group received routine management;while the observation group implemented the MDT collaborative continuity care model led by specialist nurses.This model combined various professionals,including follow-up nurses,endocrinologists,nutritionists,interventional physicians,wound ostomy nurses,psychologists,and podiatrists,to provide comprehensive and integrated interventions for patients with diabetic foot,focusing on the treatment,rehabilitation,and life guidance of patients.The two groups were compared in terms of the effective rate of foot ulcer treatment,amputation rate(toe/limb),length of hospital stay,discharge satisfaction rate,diabetes self-management behavior and readmission rate.Results The effective rate of foot ulcer treatment and discharge satisfaction rate in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).The observation group had a shorter length of hospital stay,a lower amputation rate of toe/limb,and a lower readmission rate within 6 months after discharge than the control group,the differences were statistically significant(P<0.05).Six months after discharge,the total score and related dimension scores of self-management behavior in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).Conclusion MDT collaborative continuity care led by specialist nurses can improve the treatment effect and prognosis in patients with diabetic foot,effectively improve patients'self-management behavior,and reduce the readmission rate.
作者
仇海敏
吴祥凤
于金美
乔根芳
李悦
屠春香
马雯
QIU Haimin;WU Xiangfeng;YU Jinmei;QIAO Genfang;LI Yue;TU Chunxiang;MA Wen(Jiangdu People's Hospital Affiliated to Yangzhou University,Yangzhou 225001,China)
出处
《护理实践与研究》
2025年第10期1443-1448,共6页
Nursing Practice and Research
基金
扬州市护理学会软科学研究培育课题(编号:202417)。
关键词
专科护士
多学科团队
延续性护理
糖尿病足
自我管理行为
Specialist nurses
Multidisciplinary team
Continuity care
Diabetic foot
Self-management behavior
