专科护士主导的多学科照顾团队在老年糖尿病患者院外延伸护理中的应用  

Effects of professional nurse led multidisciplinary care team in extended nursing outside hospital among elderly diabetic patients

作　　者：王利芳[1] 海洁[2] 郝倩[3] 王佳爽 Wang Lifang;Hai Jie;Hao Qian;Wang Jiashuang(Geriatrics Department,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China;Endocrinology Department,the First Affiliated Hospital of Xinxiang Medical University,Xinxiang 453100,China;Respiratory Department,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China;Department of Hepatobiliary Surgery,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)

机构地区：[1]郑州大学第一附属医院老年病科,郑州450052 [2]新乡医学院第一附属医院内分泌科,新乡453100 [3]郑州大学第一附属医院呼吸内科,郑州450052 [4]郑州大学第一附属医院肝胆外科,郑州450052

出　　处：《中华现代护理杂志》2020年第13期1779-1783,共5页Chinese Journal of Modern Nursing

摘　　要：目的探讨专科护士主导的多学科照顾团队在老年糖尿病患者院外延伸护理中的应用效果。方法采用便利抽样法选择2018年1—12月在郑州大学第一附属医院内分泌科住院的102例老年2型糖尿病患者作为研究对象,随机分为对照组和观察组,各51例。对照组采取传统模式管理,观察组采取专科护士主导的多学科照顾团队模式管理,各进行6个月的院外延伸护理。比较两组的空腹血糖、糖化血红蛋白水平以及再次入院率、并发症发生率。结果经过6个月的干预,对照组的空腹血糖较干预前降低,差异有统计学意义(P<0.05);而糖化血红蛋白水平干预前后比较,差异无统计学意义(P>0.05)。观察组经过6个月干预后,空腹血糖及糖化血红蛋白均较干预前降低,且较对照组低,差异均有统计学意义(P<0.05)。6个月内观察组再次入院率为15.69%(8/51),低于对照组的37.25%(19/51),差异有统计学意义(χ2=6.095,P=0.014)。6个月内观察组的不良事件发生率为7.84%(4/51),低于对照组的35.29%(18/51),差异有统计学意义(χ2=11.359,P=0.001)。结论专科护士主导的多学科照顾团队模式的院外延伸护理可以有效改善老年糖尿病患者空腹血糖及糖化血红蛋白水平,降低再次入院及不良事件的发生率,值得临床推广。Objective To explore the effects of professional nurse led multidisciplinary care team in extended nursing outside hospital among elderly diabetic patients.Methods From January 2018 to December 2018,we selected 102 elderly patients with type 2 diabetes of Endocrinology Department in the First Affiliated Hospital of Zhengzhou University as subjects by convenience sampling.All of patients were randomly divided into control group and observation group,51 cases in each group.Control group implemented the routine model management,while observation group carried out the professional nurse led multidisciplinary care team model management;the extended nursing outside hospital lasted for 6 months.We compared the fasting blood glucose(FBG),glycosylated hemoglobin,readmission rate and the complication incidence between two groups.Results After 6 months intervention,the FBG of control group was lower than that before intervention with a statistical difference(P<0.05);there was no statistical difference in the glycosylated hemoglobin of control group before and after intervention(P>0.05).After 6 months intervention,the FBG and glycosylated hemoglobin of observation group were lower than those before intervention,and lower than those of control group with statistical differences(P<0.05).The readmission rate of observation group within 6 months was 15.69%(8/51)lower than that[37.25%(19/51)]of control group with a statistical difference(χ2=6.095,P=0.014).The complication incidence of observation group within 6 months was 7.84%(4/51)lower than that[35.29%(18/51)]of control group with a statistical difference(χ2=11.359,P=0.001).Conclusions Extended nursing outside hospital with the professional nurse led multidisciplinary care team model can effectively improve the FBG and glycosylated hemoglobin of elderly diabetic patients,reduce the readmission rate and complication incidence which is worthy of clinical generalization.

关 键 词：糖尿病 2型 老年人 专科护士 多学科 延伸护理 

分 类 号：R473[医药卫生—护理学]