摘要
目的探讨多学科协同及流程化沟通护理干预在2型糖尿病合并肺结核患者中的应用效果。方法选择2019年1月—2020年6月汕头市潮阳区人民医院收治的2型糖尿病合并肺结核患者96例,按随机数字表法分为2组各48例。试验组实施多学科协同联合沟通护理干预,对照组进行常规护理,比较2组干预前及干预后心理痛苦程度、血糖水平及肺结核康复情况。结果2组干预前心理痛苦程度评分、血糖水平比较,差异无统计学意义(P>0.05);试验组干预后情感负担(9.86±1.45)分、人际关系相关痛苦(6.28±1.15)分、生活规律相关痛苦(10.20±1.28)分、医生相关痛苦(6.12±0.98)分,低于对照组,差异有统计学意义(P<0.05),试验组干预后空腹血糖(8.14±0.57)mmol/L、餐后2 h血糖(12.60±1.54)mmol/L,低于对照组,差异有统计学意义(P<0.05);试验组症状消失、病灶稳定、痰菌转阴率均高于对照组,差异有统计学意义(P<0.05)。结论多学科协同及流程化沟通护理干预可有效改善2型糖尿病合并肺结核患者不良情绪,降低血糖水平,促进肺结核康复。
Objective To explore the application effect of multidisciplinary collaboration and process-based communication nursing intervention in patients with type 2 diabetes complicated with tuberculosis.Methods 96 patients with type 2 diabetes complicated with tuberculosis admitted to our hospital from January 2019 to June 2020 were selected and divided into two groups according to the random number table method,48 patients in each group.The experimental group carried out multidisciplinary collaborative communication nursing intervention,and the control group carried out routine nursing.The psychological pain,blood glucose level and pulmonary tuberculosis rehabilitation were compared between the two groups before and after intervention.Results There was no statistically significant difference between the two groups in psychological distress score and blood glucose level before intervention(P>0.05).After intervention,the emotional burden,interpersonal relationship related pain,life regulation-related pain,and doctor-related pain in experimental group were(9.86±1.45),(6.28±1.15),(10.20±1.28),(6.12±0.98),higher than the control group,and the differences were statistically significant(P<0.05).The fasting blood glucose and b lood glucose 2 h after meal in the experimental group were(8.14±0.57)mmol/L and(12.60±1.54)mmol/L,lower than those in the control group,with statistically significant differences(P<0.05).The pulmonary tuberculosis rehabilitation of the experimental group was better than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Multidisciplinary collaboration and process-based communication nursing intervention can effectively improve the negative mood of patients with type 2 diabetes complicated with tuberculosis,reduce blood glucose level,and promote tuberculosis rehabilitation.
作者
林丽容
周维芬
黄贝真
Lin Lilong;Zhou Weifen;Huang Beizhen(The Chaogang People's Hospital of Shantou City,Shantou,Guangdong 515100)
出处
《基层医学论坛》
2021年第12期1640-1642,共3页
The Medical Forum
基金
汕头市科技计划医疗卫生类别项目(200520105260721)。
关键词
2型糖尿病
肺结核
多学科协同
流程化沟通
不良情绪
Type 2 diabetes
Tuberculosis
Multidisciplinary collaboration
Streamline communication
Psychological distress
