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分析多学科团队综合管理联合全媒介健康教育干预对冠心病合并糖尿病患者的效果。

Analysis of the effectiveness of multi-disciplinary team integrated management combined with full-media health education intervention in patients with coronary heart disease and diabetes mellitus.

机构信息

Department of Medicine, Henan Vocational University of Science and Technology, Zhoukou, Henan, China.

出版信息

Biotechnol Genet Eng Rev. 2024 Nov;40(3):2745-2759. doi: 10.1080/02648725.2023.2202518. Epub 2023 Apr 17.

Abstract

OBJECTIVE

To study the effect of a multi-disciplinary team (MDT) integrated management combined with all-media health education intervention on patients with coronary heart disease (CHD) and diabetes mellitus (DM).

METHODS

Fasting plasma glucose (FPG), systolic blood pressure (SBP), and total cholesterol (TC) were evaluated before and after the intervention. The general self-efficacy scale (GSES) was utilized to assess the self-efficacy. Self-rating anxiety scale (SAS) and self-rating depression scale (SDS) were used to evaluate depression and anxiety. The Seattle Angina Questionnaire (SAQ), a CHD-specific functional status and quality of life self-measurement tool, was employed to evaluate the quality of life.

RESULTS

After the intervention, the levels of FPG, systolic blood pressure, SAS, SDS, and TC in the three groups all decreased (C>B>A,P<0.05). After the intervention, the self-efficacy scores of all three groups were improved (A>B>C, P < 0.05). After the intervention, the score of quality of life in group A and group B was higher than that in group C, and the score in group A was higher than that in group B (P<0.05).

CONCLUSION

MDT integrated management combined with all-media health education intervention can effectively ameliorate blood glucose, blood pressure, and blood lipids of patients with CHD and DM, promote their healthy life, improve their self-efficacy, and improve their negative emotions and quality of life.

摘要

目的

研究多学科团队(MDT)综合管理联合全媒体健康教育干预对冠心病(CHD)合并糖尿病(DM)患者的影响。

方法

干预前后评估空腹血糖(FPG)、收缩压(SBP)和总胆固醇(TC)。采用一般自我效能感量表(GSES)评估自我效能。采用焦虑自评量表(SAS)和抑郁自评量表(SDS)评估抑郁和焦虑。采用西雅图心绞痛问卷(SAQ)评估 CHD 特定的功能状态和生活质量自我测量工具,评估生活质量。

结果

干预后三组的 FPG、SBP、SAS、SDS 和 TC 水平均降低(C>B>A,P<0.05)。干预后三组的自我效能评分均提高(A>B>C,P<0.05)。干预后,A 组和 B 组的生活质量评分均高于 C 组,A 组的评分高于 B 组(P<0.05)。

结论

MDT 综合管理联合全媒体健康教育干预可有效改善 CHD 合并 DM 患者的血糖、血压和血脂,促进其健康生活,提高自我效能,改善负性情绪和生活质量。

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