系统健康教育对糖尿病足患者自我护理的影响

The effect of systemic health education on patients with high risk of diabetic feet

目的评价系统健康教育对糖尿病足高危因素患者自我护理的影响。方法对60例糖尿病合并周围血管病变、周围神经病变的糖尿病足危险因素患者进行系统健康教育，开展个体化的足部自我护理，并随访6个月，1年之后对患者自我管理能力进行调查，统计1年内再次住院及发生糖尿病足的情况。结果60例糖尿病患者中，50％以上对糖尿病足的病因、预防及日常自我护理缺乏了解，经系统健康教育后，患者掌握了糖尿病足部护理知识，自我护理能力明显强于教育前，仅1例发生糖尿病足。结论系统健康教育可提高患者自我护理能力，控制糖尿病足危险因素，可前瞻性指导患者预防糖尿病足部并发症的发生。

Objective To evaluate the effect of health intervention to the self-care on patients with high risks of diabetic feet. Methods A total of 60 patients with high risk of diabetic feet received systemic health education containing self-care of feet and following-up for 6 months. A year later, the indicators including selfmanagement ability, rate of readmission and the incidence rate of diabetic feet were analyzed. Results After systemic health education, the knowledge of diabetes-related was enhanced and the self-management ability was improved. Only one case of diabetic feet occurred. Conclusions The systemic health education can promote the self-care ability of patients, control the diabetic feet risk factors and prevent related disease.