基于MDT的长期慢性病管理应用于子宫内膜异位症患者的效果  

The effectiveness of long-term chronic disease management based on MDT in patients with endometriosis

作　　者：陈水风 Chen Shuifeng(Jiangxi Maternal and Child Health Hospital,Nanchang,Jiangxi 330000,China)

机构地区：[1]江西省妇幼保健院,江西南昌330000

出　　处：《首都食品与医药》2023年第18期142-144,共3页Capital Food Medicine

基　　金：江西省卫生健康委科技计划项目(SKJP220210321)。

摘　　要：目的探讨基于多学科模式(MDT)的长期慢性病管理应用于子宫内膜异位症患者的效果。方法将江西省妇幼保健院2021年6月-2022年6月期间收治的80例子宫内膜异位症患者分组,随机将其分为两组,其中对照组40例,进行术后常规护理干预,观察组40例在术后常规护理的基础上进行基于MDT的长期慢性病管理干预,观察两组疼痛程度、生活质量及护理满意度。结果干预后两组疼痛分级指数(PRI)、视觉模拟评分法(VAS)评分、疼痛强度(PPI)评分均较干预前降低,且观察组低于对照组(P<0.05);干预后两组患者生活质量各维度(生理、心理、社会关系、环境、总分)评分均高于干预前,且观察组高于对照组(P<0.05);观察组总满意度(90.00%)高于对照组(72.50%)(P<0.05)。结论通过对子宫内膜异位症患者进行基于MDT的长期慢病管理能有效改善疼痛程度,提高生活质量,提高患者满意度。Objective Explore the effectiveness of long-term chronic disease management based on a multidisciplinary approach(MDT)in patients with endometriosis.Method From June 2021 to June 2022,80 patients with endometriosis in our hospital were divided into control group(40 cases)and observation group(40 cases)who received routine nursing intervention after operation,and long-term chronic disease management intervention based on MDT on the basis of routine nursing after operation.The pain degree,quality of life and nursing satisfaction of the two groups were observed.Result After the intervention,the pain grading index(PRI),visual analogue scale(VAS)and pain intensity(PPI)of the two groups were lower than those before the intervention,and the observation group was lower than the control group(P<0.05).After the intervention,the scores of each dimension of patients'quality of life(physiology,psychology,social relations,environment and total score)in the two groups were higher than those before the intervention,and the observation group was higher than the control group(P<0.05).The total satisfaction of the observation group(90.00%)was higher than that of the control group(72.50%)(P<0.05).Conclusion Long-term chronic disease management based on MDT for patients with endometriosis can effectively improve the degree of pain,improve the quality of life,and improve satisfaction.

关 键 词：多学科模式 慢性病管理 子宫内膜异位症 生活质量 

分 类 号：R473.71[医药卫生—护理学]