健康教育及分层管理在糖尿病足病防治中的作用——3年随访观察

Effect or Diabetic Foot Health Education and Hierarchical Management:a 3-year follow-up observation

为探讨早期糖尿病足病健康教育及分层管理措施对糖尿病患者足病的防治作用,对初诊糖尿病患者进行了足部风险评估,分为正常、低危、中危、高危不同程度糖尿病足病风险人群,然后对不同风险人群组实施系统性、长期性兼个体化的糖尿病足病防治健康教育和分层管理3年。研究发现,糖尿病足病发生发展状况明显改善,与糖尿病足病相关的溃疡复发率相对风险降低52.30%,再住院率相对风险降低43.28%,溃疡发生率降低61.99%。因此,早期糖尿病足病健康教育和分层管理的防治策略可提高患者对足部的自我管理和护理能力,对糖尿病足病的发生发展起到了有效的防治作用。

To study the prevention and treatment effects of early stage diabetic foot health education and hierarchical management in diabetic patients with foot problems,we evaluated the risk of diabetic foot and the patients were divided into 4 groups,no risk,low risk,moderate risk,and high risk according to their risk scores.Then implement a systematic,long-term and individualized health education and hierarchical management aimed at early stage diabetic foot to different groups for 3 years.The early stage diabetic foot health education and hierarchical management have positive effects on the improvement of diabetic patients＇ foot conditions and reduce the rate of hospitalization and incidence of ulcer.The implementation of early stage diabetic foot health education and hierarchical management can improve the selfmanagement and nursing ability of patients,which have had effective prevention and treatment effects on the occurrence and development of diabetic foot and reduce the re-hospitalization rate and hospitalization cost of patients.