糖尿病足护理单对糖尿病患者足部评估与护理的效果及意义

Effect and Significance of Diabetic Foot Care Sheet on Foot Evaluation and Nursing of Diabetic Patients

目的分析针对糖尿病患者采用糖尿病足护理单进行足部评估与护理后的临床效果。方法选取100例在本院2019年4月至2020年4月收治的糖尿病患者,对其进行足部评估后记录主要影响因素;将100例患者随机分成两组,分别实施常规护理(常规组50例)和糖尿病足护理单针对性护理(试验组50例),常规组采取的主要措施有及时解答患者提出来的问题,为其讲解药物用法用量等。试验组采取的主要措施有给予患者健康宣教,详细讲解疾病相关信息,包括疾病诱发因素、治疗方法、临床表现以及可能出现的并发症等;饮食护理,为每位患者计算出每日热量摄入总量,明确糖分、脂肪和蛋白质等占比;实施心理护理等,比较两组患者的临床护理效果及意义。结果100例糖尿病患者均含有不同导致糖尿病足疾病的危险因素,筛查率为100%;试验组患者护理后的空腹血糖、餐后2 h血糖水平和糖尿病足知识评分优于常规组,且试验组患者的护理满意度(96.00%)高于常规组(82.00%),组间差异明显(P<0.05)。结论糖尿病足护理单对糖尿病患者进行足部评估和针对性护理可以有效了解糖尿病足的主要致病因素,同时也可以控制患者的血糖水平。

Objective To analyze the clinical effect of foot evaluation and nursing with diabetic foot care sheet for patients with diabetes.Methods A total of 100 diabetic patients admitted to our hospital from April 2019 to April 2020 were selected.Their feet were evaluated and the main influencing factors were recorded.100 patients were randomly divided into two groups,respectively,the implementation of routine nursing(routine group 50 cases)and diabetes foot nursing single targeted nursing(experimental group 50 cases),the routine group to take the main measures to timely answer the questions raised by patients,explain the drug usage and dosage.The main measures taken by the experimental group were health education,detailed explanation of the disease related information,including disease inducing factors,treatment methods,clinical manifestations and possible complications,etc.Dietary care,for each patient to calculate the total daily calorie intake,clear sugar,fat and protein ratio;To compare the clinical nursing effect and significance of the two groups of patients.Results One hundred diabetic patients all had different risk factors of diabetic foot disease,and the screening rate was 100%.After nursing,fasting blood glucose,2 h postprandial blood glucose level and diabetic foot knowledge score of patients in the experimental group were better than those in the conventional group,and nursing satisfaction of patients in the experimental group(96.00%)was higher than that in the conventional group(82.00%),with significant differences between groups(P<0.05).Conclusion Foot evaluation and targeted nursing for diabetic patients can effectively understand the main pathogenic factors of diabetic foot and control the blood glucose level of patients.