The application of doctor-nurse collaboration model in the nursing of elderly patients with renal failure and diabetic foot (医护一体化模式在老年肾功能不全合并糖尿病足患者护理中的应用)

Abstract

Objective To investigate the effect of doctor-nurse collaboration model in the nursing of elderly patients with renal failure and diabetic foot. Methods Totally 76 elderly patients with renal failure and diabetic foot were randomly divided into the control group and research group, 38 cases in each group. Patients in the control group received routine nursing management, and those in the study group were given nursing interventions based on doctor-nurse collaboration model. The General Comfort Questionnaire(GCQ) was used to assess patient comfort, and the length of stay and incidence of complications were compared between two groups. Results The GCQ scores of two groups were increased after nursing interventions, and GCQ score in the study group was higher than that in the control group (P＜0. 01). The length of stay in the study group was shorter than that in the control group (P＜0. 01). There was no significant difference in incidence of complications between two groups(P＞0. 05). Conclusion Nursing interventions based on doctor-nurse collaboration model are effective to improve the comfort of patients with renal failure and diabetic foot. (目的 分析医护一体化模式在老年肾功能不全合并糖尿病足患者护理中的应用效果。方法 选取76例老年肾功能不全合并糖尿病足患者作为研究对象, 采用随机数字表法将其分成对照组和研究组, 各38例。对照组采用常规护理, 研究组采用医护一体化模式进行干预。采用舒适状况量表(GCQ)评估患者机体舒适度, 统计患者住院时间和并发症发生情况。结果 实施护理干预后, 2组GCQ评分均较干预前提高, 且研究组GCQ评分高于对照组, 差异有统计学意义(P＜0. 01)。研究组患者住院时间短于对照组, 差异有统计学意义(P＜0. 01)。2组并发症比较, 差异无统计学意义(P＞0. 05)。结论 医护一体化模式在老年肾功能不全合并糖尿病足患者的护理中应用效果明显, 能有效改善患者舒适状况。)

Keywords

• doctor-nurse collaboration
• renal failure
• diabetic foot
• specialist care
• 医护一体化
• 肾功能不全
• 糖尿病足
• 专科护理