摘要
目的 探讨门诊多学科诊疗模式（MDT）对糖尿病足患者心理健康及生存质量的影响。方法 选择2018年1月-4月就诊于长沙市两所三甲医院的142名糖尿病足患者，根据患者就诊期间是否接受门诊多学科诊疗模式分为MDT组（n=71）和常规组（n=71），通过《综合医院焦虑抑郁量表》（HADS）和《糖尿病患者生存质量特异性量表》(DSQL)评估患者的心理健康和生存质量水平，结局指标包括焦虑抑郁得分和生存质量得分。结果 与基线资料相比，MDT组和常规组焦虑评分均有降低（P=0.001），但组间比较无统计学差异；MDT组生存质量与常规组无差异（P=0.22）。结论 门诊MDT诊疗模式在一定程度上能改善患者的心理和精神状态，但与常规诊疗模式相比无明显差异，提示有必要将心理医生、教育护士纳入门诊MDT诊疗模式中，能够更专业地评估患者的焦虑抑郁水平，给予专业的心理治疗和健康指导。
关键词： 糖尿病足；多学科诊疗；心理健康；生存质量
Abstract
Objective To explore the effect of MDT on mental health and quality of life in patients with diabetic foot. Methods 142 patients with diabetic foot admitted to two grade A hospitals in Changsha from January to April 2018 were selected,according to the patient during outpatient multidisciplinary treatment mode is divided into MDT group (n = 71) and normal group (n = 71), through the comprehensive hospital anxiety depression scale (HADS) and the diabetes patients survival quality specificity scale (DSQL) to assess the patient's level of psychological health and quality of survival, outcome indicators include anxiety, depression scores and survival quality score. Results Compared with baseline data, anxiety scores in both the MDT group and the conventional group were reduced (P=0.001), but there was no statistical difference between the two groups.There was no difference in quality of life between the MDT group and the conventional group (P=0.22). Conclusion s Outpatient MDT treatment mode can improve the patient's psychological and mental state, but no obvious difference compared with the conventional pattern of diagnosis and treatment, suggesting the need MDT incorporating psychological doctor, nurse education into the clinic diagnosis and treatment pattern, can be more professional to assess the level of anxiety in the patients with depression, giving professional psychological treatment and health guidance.
Key words： Diabetic Foot; Multidisciplinary Diagnosis and Treatment; Mental Health; Quality Of Life
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