糖尿病足介入治疗中不舒适原因分析及护理对策

Discomforts occurring in the interventional therapy for diabetic foot:analysis of causes and nursing strategy

目的分析糖尿病足介入治疗中不舒适原因,针对性采取个性化的护理干预,增加患者治疗中的舒适度和配合能力,提高手术成功率。方法将9例介入治疗患者作为对照组,采用常规的护理方法;将13例患者作为治疗组,针对患者具体情况,改良护理方法,提供护理干预。结果对照组因手术时间长不能坚持手术者1例,机械刺激不适肢体不配合致图像质量差、反复检查的2例,尿潴留1例,平均手术时间2.8 h/例,对比剂用量150～300 ml/例;治疗组患者顺利完成手术,平均每例手术时间为2.2h;对比剂100～200 ml。结论介入治疗中提供有效的护理干预,增加患者的舒适度和配合能力,能够提高手术成功率,节约手术时间,减少对比剂用量。

Objective To analyze the causes of discomfort occurring in the interventional treatment of diabetic foot,to discuss the individualized nursing measures for improving the patient＇s comfort and cooperation,and for increasing the successful rate of the interventional procedure.Methods The control group included 9 patients who received conventional nursing care.The study group had 13 patients who accepted individualized nursing care and nursing intervention,which was designed according to every patient＇s individual conditions.Results In the control group,one patient could not endure the surgery to the end because of the long operating time.Another two patients had to take examinations repeatedly because the imaging quality was very poor,which was caused by the body movement due to uncomfortable mechanical stimulation.Urinary retention occurred in one patient.The mean operative time of the control group was 2.8 hour per surgery.The average dosage of contrast medium used was 150-300 ml per p...更多rocedure.All the subjects in the study group completed the surgery successfully,the mean operative time was 2.2 hour per surgery and the average dosage of contrast medium used was 100-200 ml per procedure.Conclusion During the perioperative period of interventional treatment for diabetic foot,the effective individualized nursing care and nursing intervention,the measures to improve patient＇s comfort and the cooperation,etc.can certainly increase the successful rate,saving the operating time and reducing the contrast dosage.