糖尿病视网膜病变患者围术期MDT协作干预的护理效果  

Nursing effect of MDT cooperation intervention in diabetic retinopathy patients during perioperative period

作　　者：杜菲 陈丁 黄丽清 DU Fei;CHEN Ding;HUANG Liqing(People’s Hospital Affi liated to Fujian University of Traditional Chinese Medicine,Fuzhou,350000,China)

机构地区：[1]福建省中医药大学附属人民医院手术室,福建省福州市350000

出　　处：《护理实践与研究》2023年第4期604-608,共5页Nursing Practice and Research

摘　　要：目的 探讨多学科团队协作(MDT)干预在糖尿病视网膜病变(DR)患者围术期中的应用效果。方法 选取2021年1—12月DR患者120例,按照组间基本特征具有可比性的原则将患者分为观察组与对照组,每组60例。对照组围术期行常规健康指导,观察组在对照组基础上应用MDT协作干预,比较两组患者干预前后不良情绪、应对方式、遵医行为及预后情况。结果 MDT协作干预后,观察组汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)评分低于对照组,遵医行为评分高于对照组,差异有统计学意义(P<0.05)。观察组屈服、回避评分低于对照组,面对评分高于对照组,差异有统计学意义(P<0.05)。两组手术成功率比较差异无统计学意义(P>0.05);观察组术后眼压升高发生率低于对照组,差异有统计学意义(P<0.05);观察组术后VAS评分低于对照组,住院时间短于对照组,差异有统计学意义(P<0.05)。结论 MDT协作干预有助于DR患者采取积极的态度应对疾病,消除患者住院期间不良情绪,提升遵医行为,促进术后康复。Objective To explore the application effect of multi-disciplinary team(MDT) cooperation intervention in diabetic retinopathy(DR) patients during perioperative period. Methods To select 120 DR patients from January to December 2021, and divide them into an observation group and a control group according to the principle of comparability of basic characteristics between groups, with 60 patients in each group. The control group received routine health guidance during the perioperative period, and the observation group used MDT collaborative intervention on the basis of the control group. The adverse emotions, coping styles, compliance behavior and prognosis of patients in the two groups were compared before and after the intervention. Results After MDT cooperation intervention, the scores of Hamilton anxiety scale(HAMA) and Hamilton depression scale(HAMD) in the observation group were lower than those in the control group, and the score of compliance behavior was higher than that in the control group, the differences were statistically significant(P<0.05). The scores of yield and avoidance in the observation group were lower than those in the control group, and the score of face was higher than that in the control group, the differences were statistically significant(P<0.05). There was no signifi cant dif ference in the success rate of surgery between the two groups(P>0.05). The incidence of postoperative intra-ocular tension elevation in the observation group was lower than that in the control group, and the dif ference was statistically signifi cant(P<0.05). The postoperative VAS score in the observation group was lower than that in the control group, and the hospitalization time was shorter than that in the control group, the dif ferences were statistically signifi cant(P<0.05). Conclusion MDT collaborative intervention was helpful for DR patients to adopt a positive attitude to cope with the disease, eliminate the negative emotions of patients during hospitalization, improve compliance behavior, and promote post

关 键 词：多学科团队协作 糖尿病视网膜病变 不良情绪 应对方式 遵医行为 预后 

分 类 号：R473.77[医药卫生—护理学]