[目的]探讨多学科合作延续护理对抑郁症伴糖尿病病人自我护理能力和生存质量的影响. [方法]将58例抑郁症伴糖尿病病人按住院号单双号分组,单号为干预组(29例) ,双号为对照组(29例) .两组病人住院期间均予以常规护理和健康教育,出院时给予健康指导,出院后干预组给予基于团队的延续护理,两组病人均随访6个月.采用自我护理能力测定量表(ESCA)、WHO生存质量测定量表简表(WHOQOL-BREF)评定病人的自我护理能力和生活质量,用全自动生化分析仪测定病人空腹血糖(FPG)、餐后2 h血糖(2 hPBG)控制状况. [结果]出院后6个月末,干预组ESCA总分和4个因子得分均高于对照组(P＜0 .05) ,WHOQOL-BREF中生理领域、心理领域、社会关系领域和环境领域评分均高于对照组(P＜0 .05) ,FPG和2 hPBG低于对照组(P＜0 .01). [结论]多学科合作延续护理可提高抑郁症伴糖尿病病人自我护理能力,改善生存质量.

Objective To explore the effects of self-role recognition nursing on the agitation behavior and social interaction in schizophrenic patients with diabetes mellitus. Methods A total of 98 cases of schizophrenia patients with diabetes mellitus treated in Wuxi Mental Health Center of Jiangsu Province from October 2014 to October 2016 were selected as the research objects. The patients were randomly divided into control group and study group by random number table method. The control group was given routine nursing intervention, while the study group was given self-role recognition nursing intervention for 6 months. The level of fasting blood glucose and 2-hour postprandial blood glucose were compared between the two groups. Patients' agitation behavior was evaluated by Cohen-Mansfield agitation inventory (CMAI); social communication ability was evaluated by social skills checklist (SSC) and social adaptive functioning evaluation (SAFE); mental status was evaluated by positive and negative syndrome scale (PANSS). The data of this study were statistically analyzed with SPSS 19.0 statistical software, in which the measurement data were tested by t-test, and the enumeration data were tested by χ2test. Results Before intervention, there was no significant difference in fasting blood glucose and 2-hour postprandial blood glucose between the two groups (P> 0.05). After intervention, the fasting blood glucose and 2-hour postprandial blood glucose level in the study group were significantly lower than those in the control group, and the differences were statistically significant (P< 0.01). The scores of physically aggressive agitation, physically non-aggressive agitation, verbal agitation and the total score of CMAI in the control group were (16.4±3.7), (31.5±4.9), (25.2±4.5), (73.1±4.5) respectively after intervention, and the scores were (11.8±3.2), (24.1±5.3), (17.5±4.2), (53.4±4.7) in the study group. The differences between the two groups after intervention were statistically significant (t=7.268, 8.617, 8.561, 15.341;P<0.01). The results of SSC scale and SAFE scale in both groups decreased than before intervention, and the scores of the study group were all lower than those of the control group, with statistical significance (P<0.01). After intervention, the scores of positive symptoms, negative symptoms, negative symptoms and the total score of PANSS scale of the study group were significantly lower than those of the control group, and the differences were statistically significant (P<0.01). Conclusions Self-role recognition nursing intervention can be used to improve the patients' social interaction ability and mental status in the nursing process of schizophrenia patients with diabetes mellitus, and it is worthy of clinical promotion.

Objective To investigate the application effect of the reformative warning logo of nursing in psychiatry.Methods Patients with mental disorders admitted in the psychiatry department of Wuxi Mental Health Center in Jiangsu Province from January to December 2016 were selected in the study. A total of 507 patients (288 in-patients) from January to July 2016 were selected as the group before the use of reformative warning logo of nursing, with a frequency of usage of 301 case-times. A number of 535 patients (324 in-patients) from August to December 2016 were selected as the group after the use of reformative warning logo of nursing, with a frequency of usage of 372 case-times. Psychiatric in-patients were assessed for nursing risks. Risk prevention and management were carried out by nurses combined with the nursing warning logos which were made according to the risk categories and levels. The incidence of accidents of patients, accuracy and satisfaction rate of nurses were compared before and after the use of reformative warning logos.Results After the use of reformative warning logos, the accident rate of in-patients was significantly decreased from 16.38% to 6.50%; the accurate rate of using the logos was significantly increased from 88.70% to 97.31%; the accuracy of risks by nurses was significantly increased from 70.73% to 95.12%; and the satisfaction rate was significantly increased from 41.67% to 91.67% (x2=25.04, 20.17, 17.23, 20.25;P<0.01).Conclusions The reformative warning logo of nursing can be an information transfer system and help to quickly and accurately identify the nursing risks, promote the optimization of nursing work, ensure the safety of patients and nurses, and improve the nursing job satisfaction.