Application of multidisciplinary collaborative nursing model in the nursing of elderly patients with diabetes mellitus complicated with acute cholecystitis

Abstract

Objective To explore the application effect of multidisciplinary collaborative nursing model in nursing elderly patients with diabetes mellitus complicated with acute cholecystitis. Methods A total of 134 elderly patients with diabetes mellitus and acute cholecystitis admitted to the First Affiliated Hospital of Zhengzhou University from April 2015 to June 2017 were selected for the study and were divided into collaborative group and control group according to admission time. The two groups had routine surgery, and after surgery, the control group was given routine nursing care while the collaborative group was given nursing care under the guidance of multidisciplinary collaborative model. The random blood glucose level, postoperative fasting blood glucose level as well as 2 h postprandial blood glucose level, blood glucose fluctuation, intraoperative blood loss, operation time, postoperative exhaust time, hospitalization time, hospitalization cost and complications were recorded in the two groups; the patients body mass index (BMI) , plasma albumin (ALB) , prealbumin (PAB) and other indicators on admission and discharge were measured; the patient satisfaction survey was conducted when they got discharged. Results The fasting blood glucose and postoperative 2 h blood glucose levels, as well as the blood glucose fluctuation range in the collaborative group were lower than those in the control group after surgery with statistical significance (P<0.01) . The operation time, intraoperative blood loss, postoperative exhaustion time, hospitalization time and hospitalization expenses of the collaborative group were lower than those of the control group with statistical significance (P<0.05) . The levels of BMI, ALB and PAB on discharge were higher than those in the control group with statistical significance (P<0.05) . The difference in terms of the overall satisfaction rate between the collaborative group (97.10%) and the control group (86.15%) was statistically significant (P<0.05) . The incidence of postoperative cognitive dysfunction and overall complications in the collaborative group was statistically lower than that in the control group (P<0.05) . Conclusions Multidisciplinary collaborative nursing for elderly patients with diabetes mellitus complicated with acute cholecystitis can reduce the patients' perioperative blood glucose fluctuations, improve their nutritional status, promote postoperative recovery, reduce incidence of complications, and improve patients' satisfaction towards nursing services. Key words: Diabetes mellitus; Cholecystitis, acute; Aged; Multidisciplinary collaborative nursing model