对41例麻风单纯性足底溃疡患者咨询服务的效果分析

Evaluation of the efficacy of simple plantar ulcer counselling approach in 41 leprosy patients

目的探索在麻风住院部开展麻风溃疡咨询服务的效果,为在麻风村推广溃疡咨询服务提供经验。方法对我所住院部41例麻风单纯性足底溃疡患者提供咨询服务,每月1次,每次不少于30min,共6次。在咨询服务前后分别进行基线调查与终末评估。结果咨询后麻风足底溃疡的相关知识大多数得到明显提高,认为足自我护理很有必要者从53.66%提高到90.24%,愿意接受咨询者从56.10%提高到95.12%,日常减少行走者从41.46%提高到87.80%,经常使用轮椅拐杖者从53.66%提高到85.37%,麻风溃疡下降率达到56.60%。结论咨询对促进溃疡患者实施残疾预防行为有着积极的作用,建议应列为麻风残疾预防服务的常规内容。

Objective To evaluate the efficacy of plantar ulcer counselling service in leprosy colony. Methods 41 lepers with simple plantar ulcers were chosen as the object of counselling service. Each individual was given a cunselling with 30 minutes per month,lasted for six months . On the first month and the seventh month, the base and terminal surveys were made respectively. Results Delivery of counselling services strikingly raised knowledge of plantar ulcer control among the leprosy patients. The patients eonsidering the neeessary of self-eare improved from 53.66 % to 90.24 % ;and the patients who were willing to accept counselling raised from 56.10 % to 95. 12 %. The patients with restriction of walking improved from 41.46 % to 87.80 %. and the patients accustomed to using armehairs and walking sticks from 53.66 % to 85.37 % o At the end of the service,the incidence of ulcers cut down by 56.60%. Conclusion Counselling play an active role in preventing the disability after plantar ulcer and it should be added to the routine activity of POD work.