多学科诊疗模式在神经内科老年患者失禁性皮炎预防管理中的应用

Application of multidisciplinary diagnosis and treatment mode in prevention and management of incontinence dermatitis in eld-erly patients in department of neurology

中文关键词: 老年  失禁性皮炎  多学科诊疗模式  神经内科  预防

英文关键词: elderly  incontinence dermatitis  multiple disciplinary diagnosis and treatment mode  department of neurol-ogy  prevention

中文摘要:

      目的 探讨多学科诊疗模式(MDT模式)在神经内科老年患者失禁性皮炎(IAD)预防管理中的应用.方法 选取2021 年5 月—2022 年4 月在华东医院神经内科收治的64 例老年失禁患者为研究对象,采用方便抽样的方法分为观察组和对照组,每组32 例.对照组实施常规护理,观察组在与对照组相同处理的基础上联合MDT模式的管理.比较2 组IAD发生率、PAT评分、IADS评分、NRS2002 评分、ICI-Q-LF评分.结果 干预后,观察组患者IAD发生率显著低于对照组(5%vs 15%)(P＜0.05);观察组患者PAT评分、IADS评分、ICI-Q-LF评分均低于对照组(P＜0.05);2 组NRS2002 评分均逐渐下降趋势,观察组评分低于对照组[(2.14±0.48)分vs(2.76±0.47)分](P＜0.05).结论 MDT模式应用于神经内科老年失禁患者,可能有效减少IAD的发生,降低患者发生营养不良的风险,减轻对患者生活的影响程度,具有一定的临床应用价值.

英文摘要:

      Objective To explore the application of multidisciplinary diagnosis and treatment(MDT)mode in preven-tion and management of incontinence dermatitis(IAD)in elderly patients in department of neurology.Methods 64 elderly in-continence patients admitted to the Department of Neurology of Huadong Hospital from May 2021 to April 2022 were selected as the study subjects.They were divided into observation group and control group by convenient sampling method,with 32 ca-ses in each group.The control group received routine nursing,and the observation group received MDT mode management on the basis of the same treatment as the control group.The incidence of IAD and the scores of PAT,IADS,NRS2002 and ICI-Q-LF were compared between the two groups.Results After intervention,the incidence of IAD in the observation group was significantly lower than that in the control group(5% vs 15% )(P＜0.05);the scores of PAT,IADS and ICI-Q-LF of the ob-servation group were lower than those of the control group(P＜0.05).After the intervention,the NRS2002 scores of both groups gradually decreased,and the score of the observation group was lower than that of the control group[(2.14±0.48)pointsvs(2.76±0.47)points](P＜0.05).Conclusion The application of MDT mode in elderly incontinence patients in the department of neurology may effectively reduce the occurrence of IAD,reduce the risk of malnutrition,and reduce the im-pact on patients'life,which has certain clinical application value.