Application effect of cluster nursing intervention in patients with pulmonary tuberculosis complicated with diabetes#br#
ZHANG Yanjuan1 YU Yan2▲
1.Department of Tuberculosis, the Fourth People’s Hospital of Huai’an City, Jiangsu Province, Huai’an 223001, China;
2.Department of Critical Care, the Fourth People’s Hospital of Huai’an City, Jiangsu Province, Huai’an 223001, China
Abstract:Objective To explore the application effect of cluster nursing intervention in patients with tuberculosis complicated with diabetes. Methods A total of 100 patients with pulmonary tuberculosis complicated with diabetes in the Fourth People’s Hospital of Huai’an City, Jiangsu Province from July 2018 to December 2020 were selected as the research objects. According to the random number table method, the patients were randomly divided into the observation group 50 cases and the control group 50 cases. The observation group received cluster nursing measures. Including the establishment of multidisciplinary collaborative teams, nutrition management, health education, and psychological care; the control group received routine nursing care. After three months of intervention, the incidence of complications, anxiety and depression scores and the nursing satisfaction of the patients’ family members were compared between the two groups. Results After three months of nursing intervention, the scores of anxiety and depression in two groups were lower than before, and the observation group was significantly lower than the control group, the difference was statistically significant (P < 0.05). The total incidence of complications in observation group was lower than that in control group (P < 0.05), the satisfaction of family members in the observation group was higher than that in the control group, and the difference was statistically significant (P < 0.05). Conclusion Cluster nursing has a good effect on patients with pulmonary tuberculosis complicated with diabetes, can significantly reduce the incidence of complications, improve the anxiety and depression of patients and improve the satisfaction of family members.
[1] 国家感染性疾病临床医学研究中心,深圳市第三人民医院,国家代谢性疾病临床医学研究中心,中南大学湘雅二医院,中国防痨协会等.结核病与糖尿病共病的治疗管理专家共识[J].中国防痨杂志,2021,43(1):12-22.
[2] 国家卫生健康委疾病预防控制局.2019年全国法定传染病疫情概况[J].中国病毒病杂志,2020,10(4):245.
[3] Resar R,Pronovost P,Haraden C,et al. Using a bundle approach to improve ventilator care processes and reduce ventilator-associated pneumonia [J]. Jt Comm J Qual Patient Saf,2005,31(5):243-248.
[4] 李翠翠,胡靖,苏向妮,等.集束化护理理念及其在外科护理中应用的研究进展[J].中华现代护理杂志,2017,23(30):3813-3816.
[5] 郭晓霞,李育玲,韩雪,等.集束化护理预防下肢骨折老年病人并发症的效果观察[J].护理研究,2020,34(2):362-364.
[6] 王芝静.集束化护理在神经外科侧卧位手术患者体位安置与压力性损伤防护中的应用[J].中国护理管理,2019, 19(S1):89-92.
[7] Resar R,Griffin FA,Haraden C,et al. Using Care Bundles to Improve Health Care Quality. IHI Innovation Series white paper [J]. Cambridge,Massachusetts:Institute for Healthcare Improvement,2012.
[8] 中华人民共和国国家卫生和计划生育委员会.WS 288-2017肺结核诊断.2017-11-09.结核病与糖尿病共病的治疗管理专家共识[J].中国防痨杂志,2021,43(1):12-22.
[9] Puavilai G,Chanprasertyotin S,Sriphrapradaeng A. Diagnostic criteria for diabetes mellitus and other categories of glucose intolerance:1997 criteria by the Expert Committee on the Diagnosis and Classification of Diabetes Mellitus (ADA),1998 WHO consultation criteria,and 1985 WHO criteria. World Health Organization [J]. Diabetes Res Clin Pract,1999,44(1):21-26.
[10] For CF,Links THE,Tuberculosis B. Use of glycated haemoglobin (HbA1c) in diagnosis of diabetes mellitus:abbreviated report of a WHO consultation [J]. J Automated Reasoning,2011,14(2):123-125.
[11] 段泉泉,胜利.焦虑及抑郁自评量表的临床效度[J].中国心理卫生杂志,2012,26(9):676-679.
[12] Restrepo BI. Diabetes and Tuberculosis [J]. Microbiol Spectr,2016,4(6):10.
[13] Workneh MH,Bjune GA,Yimer SA. Prevalence and associated factors of tuberculosis and diabetes mellitus comorbidity:A systematic review [J]. PLoS One,2017,12(4):e0175925.
[14] 黄宝英,王清香.集束化护理对糖尿病患者低血糖发生率的效果分析[J].糖尿病新世界,2019,22(17):143-144,147.
[15] 程聪聪.集束化护理预防2型糖尿病患者围内镜检查期低血糖的效果观察[J].实用糖尿病杂志,2020,16(5):123.
[16] 陈博.集束化护理干预对耐药肺结核患者出院后治疗依从性及生活质量的影响[J].结核病与肺部健康杂志,2018,7(3):205-207.
[17] 张铁君.集束化护理干预对肺结核大咯血患者支气管动脉造影联合介入栓塞术后的影响[J].医学理论与实践,2020,33(4):642-643.
[18] 詹海侠,胡东,张文婷,等.集束化护理模式对乳腺癌改良根治术后患者肩关节功能恢复及生命质量的影响[J].中国医药导报,2020,17(14):178-181.
[19] 郭桂丽,韩斌如,董婷婷.SSKIN集束化护理措施对院内压力性损伤预防效果的研究[J].中国护理管理,2020, 20(8):1241-1244.
[20] 潘婷婷,李爱丽,伍三霞,等.集束化护理在脑卒中患者中的应用[J].齐鲁护理杂志,2020,26(18):103-105.
[21] Okgn Alcan A,Demir Korkmaz F,Uyar M. Prevention of ventilator-associated pneumonia:Use of the care bundle approach [J]. Am J Infect Control,2016,44(10):e173-e176.
[22] 田引娟.先兆流产患者采用集束化护理对患者心理及生活质量的影响[J].中国药物与临床,2020,20(17):2974-2976.
[23] 邓纯.集束化护理干预对肺结核大咯血介入术后患者生活质量与心理状况的影响[J].中国社区医师,2020,36(22):120-121.
[24] 陈博,张靓,张翠玲,等.集束化护理在耐多药肺结核延续护理中的应用[J].世界最新医学信息文摘,2019,19(56):255-256.
[25] 张先庚,李燕,张夏梦,等.正念干预对社区老年2型糖尿病合并抑郁状态患者血糖和抑郁水平的影响[J].成都医学院学报,2020,15(3):74-77.
[26] 黄琦,廖鑫,王攀,等.2型糖尿病肾病患者血清趋化素与胱抑素C水平的相关性[J].成都医学院学报,2019, 14(6):732-735.