以目标为导向的医院分级联动延续性护理在糖尿病足溃疡患者中的治疗效果
Effect of Goal Oriented Hospital Grade Linkage Continuous Nursing on Patients with Diabetes Foot Ulcer

DOI: 10.12677/NS.2022.113082, PP. 376-381

Keywords: 糖尿病足，延续性护理，溃疡
Diabetic Foot, Continuous Care, Ulcer

Full-Text   Cite this paper   Add to My Lib

Abstract:

目的：探讨以目标为导向的医院分级联动延续性护理在糖尿病足溃疡患者中的治疗效果。方法：将2018年1月~2020年1月于无棣县人民医院就诊的76例糖尿病足溃疡患者随机分为试验组与对照组，各38例。对照组实施常规健康教育治疗，试验组予以医院分级联动延续性护理。结果：干预6个月后两组患者血糖水平、足部护理评分以及足部创面评分显著高于干预前，且试验组明显优于对照组，差异具有统计学意义(P < 0.05)。结论：以目标为导向的医院分级联动延续性护理能有效改善患者的饮食及生活行为习惯，显著增强患者对糖尿病足的知识掌握度，对于患者的血糖水平控制以及糖尿病足溃疡的复发率均有明显效果。
Objective: To explore the treatment effect of target oriented hospital grade linkage continuous nursing in patients with diabetic foot ulcers. Methods: 76 patients with diabetic foot ulcers who were treated in Wudi People’s Hospital in January 2018 to January 2020 were randomly divided into the experimental group and the control group, 38 cases in each group. The control group was treated with routine health education, and the experimental group was given hospital grade linkage continuous nursing. Results: Six months after the intervention, the blood glucose level, foot care score and foot wound score of the two groups were significantly higher than those before the intervention, the experimental group was significantly better than the control group (P < 0.05). Conclusion: Objective oriented hospital hierarchical linkage continuity nursing can effectively improve patients’ dietary and living habits, significantly enhance their knowledge of diabetic foot, and have obvious effect on controlling blood sugar level and recurrence rate of diabetic foot ulcers.

References

[1]	侯雯莉, 刘丽楠, 关树梅, 等. 糖尿病患者院外电话随访效果分析[J]. 武警医学院学报, 2011, 20(6): 488-489.
[2]	慕景兰, 程亚艳, 孔艳华, 等. Teach-back健康教育在糖尿病足患者中的应用价值[J]. 安徽医学, 2021, 42(6): 680-684.
[3]	郭亚娟, 李雪梅, 钱苗苗, 等. 压疮愈合计分量表在下肢静脉溃疡疗效评估中的应用研究[J]. 中国妇幼健康研究, 2017(S2): 21-22.
[4]	沈玉兰, 尹慧, 邹树芳. 院外延续护理在糖尿病足高危病人中的应用[J]. 护理研究, 2017, 31(29): 3698-3700.
[5]	华美霞. 基于IMB模式的健康管理在糖尿病足溃疡患者中的应用效果及影响[J]. 国际护理学杂志, 2020, 39(11): 1967-1971.
[6]	Meloni, M., Izzo, V., Manu, C., et al. (2019) Fast-Track Pathway: An Easy-to-Use Tool to Reduce Delayed Referral and Amputations in Diabetic Patients with Foot Ulceration. The Diabetic Foot Journal, 22, 38-47.
[7]	Barshes, N.R., Sigireddi, M., Wrobel, J.S., et al. (2013) The System of Care for the Diabetic Foot: Objectives, Outcomes, and Opportunities. Diabetic Foot & Ankle, 4, Article ID: 21847.
[8]	陈燕, 徐军, 曹灵丽, 等. 延续性护理对糖尿病足出院患者干预效果的Meta分析[J]. 中华现代护理杂志, 2017, 23(36): 4592-4598.
[9]	高楠, 赖文娟, 彭卫群, 等. 多学科合作延续性护理服务模式对糖尿病足患者的治疗效果[J]. 国际护理学杂志, 2018, 37(13): 1748-1751.
[10]	张洪, 张文广, 于海兵, 等. “一病一品”护理模式对社区糖尿病足患者治疗护理效果及认知水平的影响[J]. 护士进修杂志, 2021, 36(24): 2267-2270.

Full-Text