北京中医药大学东方医院 内分泌科, 北京, 100078
徐岩岩, E-mail: 945021480@qq.com
收稿:2026-05-12,
修回:2026-06-24,
录用:2026-06-25,
网络首发:2026-08-26,
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尚志花, 徐岩岩, 徐卫红. 中西医结合医护一体化护理在1例失能失智老年消渴病患者中的应用[DB/OL].中西医结合临床案例库, 2026.
SHANG Zhihua, XU Yanyan, XU Weihong. Application of Integrated Chinese and Western Medicine Doctor-Nurse Collaborative Nursing Care for an Elderly Disabled and Cognitively Impaired Patient with Xiao Ke Disease (Diabetes Mellitus)[DB/OL].Clinical Archives of Integrative Medicine, 2026.
尚志花, 徐岩岩, 徐卫红. 中西医结合医护一体化护理在1例失能失智老年消渴病患者中的应用[DB/OL].中西医结合临床案例库, 2026. DOI: 10.12209/CAIM202605120002.
SHANG Zhihua, XU Yanyan, XU Weihong. Application of Integrated Chinese and Western Medicine Doctor-Nurse Collaborative Nursing Care for an Elderly Disabled and Cognitively Impaired Patient with Xiao Ke Disease (Diabetes Mellitus)[DB/OL].Clinical Archives of Integrative Medicine, 2026. DOI: 10.12209/CAIM202605120002.
本文总结1例中西医结合医护一体化护理模式在失能失智老年消渴病患者中的应用效果。选取1例89岁失能失智老年消渴病患者,以益气养阴、化痰祛瘀为中医治则,联合西医降糖、降压及营养支持等治疗,实施医护一体化的护理评估、诊断、计划、实施与评价流程,针对呼吸道管理、营养支持、皮肤护理、管路安全及并发症防控等核心问题开展中西医结合护理干预。经过25 d的精心治疗与护理,患者痰液排出通畅,营养状况改善,压疮创面逐步愈合,管路固定良好,未发生严重感染、误吸或窒息等并发症,基础病症状得到有效控制。
This article summarizes the application outcomes of an integrated Chinese and Western medicine doctor-nurse collaborative nursing care model in the management of an elderly disabled and cognitively impaired patient with Xiao Ke disease (diabetes mellitus). The case involved an 89-year-old disabled and cognitively impaired elderly patient with diabetes. Guided by the traditional Chinese medicine (TCM) therapeutic principles of replenishing qi, nourishing yin, resolving phlegm, and removing blood stasis, in conjunction with treatments for hypoglycemia management, antihypertensive therapy, and nutritional support in Western medicine, a doctor-nurse collaborative nursing workflow encompassing assessment, diagnosis, planning, implementation, and evaluation was executed. Targeted integrated Chinese and Western medicine nursing interventions were implemented addressing core issues including respiratory tract management, nutritional support, skin care, catheter safety, and prevention of complications. Following 25 days of meticulous treatment and nursing care, the patient demonstrated smooth sputum expectoration, improved nutritional status, progressive healing of pressure ulcer wounds, stable catheter fixation, and no occurrence of serious complications such as infection, aspiration, or asphyxia. The symptoms of the underlying disease were effectively controlled.
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