摘要
目的探讨多学科团队服务模式对社区糖尿病患者的干预效果,为开展社区糖尿病康复管理提供依据。方法将112例临床痊愈出院的糖尿病患者随机分为干预组(59例)和对照组(53例)。干预组患者实施多学科团队服务模式,干预时间为1年;对照组实施自我管理模式。于干预前和干预3、6、9、12个月末,采用自我护理能力评定量表(ESCA)、症状自评量表(SCL-90)、2型糖尿病患者生活质量量表(DMQLS)以及再住院率评定两组效果。结果干预组ESCA、SCL-90、DMQLS量表评分显著优于对照组(均P<0.05),恶化率及再入院率显著低于对照组(P<0.05,P<0.01)。结论对社区糖尿病患者实施多学科团队服务模式护理干预能够稳定患者病情,提高自我管理水平和生活质量,降低再住院率。
Objective To explore effects of multidisciplinary team-based intervention on community diabetic patients, and to provide references for rehabilitation management of diabetes in community. Methods Totally, 112 discharged patients with diabetes were di- vided into an intervention group （59 cases） and a control group （53 cases） receiving either multidisciplinary team-based intervention for one year or self-management care. The effect was evaluated by using the Exercise of Self-care Agency scale （ESCA）, the Symptom Checklist 90 （SCL-90） and the Quality of Life Scale for patients with type 2 Diabetes Mellitus （DMQLS） before and 3, 6, 9, 12 months after the intervention. Re-hospitalization rate was compared. Results Compared with the control group, the ESCA and DMQLS scores were significantly higher in the intervention group, and the SCL-90 score was significantly lower in the inter- vention group （P〈0.05 for all） ;deterioration rate and re-hospitalization rate were significantly decreased in the intervention group （P〈0.05, P〈0.01）. Conclusion Multidisciplinary team-based service model for community diabetic patients could stabilize their condition, improve self-management level and quality of life, and reduce re-hospitalization.
关键词
糖尿病
多学科团队服务
自我管理
生活质量
再住院率
社区护理
diabetes
multidisciplinary team service
self-management
quality of life
re-hospitalization rate
communitycare
作者简介
张西菊：女，本科，主管护师通信作者：李遵清
