门诊循证护理对糖尿病足病人足部功能与生活质量的影响

Influence of outpatient evidence-based nursing on foot function and quality of life of patients with diabetic foot

[目的]探讨门诊循证护理对糖尿病足病人足部功能与生活质量的影响。[方法]选取糖尿病足病人120例,根据随机抽样原则分为治疗组与对照组各60例,对照组给予常规治疗与护理干预,治疗组在对照组干预的基础上给予门诊循证护理,均干预2周。干预后进行疗效评价。[结果]干预后治疗组与对照组的有效率分别为98.3%和86.7%,治疗组疗效明显高于对照组(P<0.05)。两组干预后的空腹血糖与餐后2h血糖均明显低于干预前(P<0.05),且干预后治疗组空腹血糖与餐后2h血糖明显低于对照组(P<0.05)。两组干预后的足背动脉搏动、下肢麻木和足部疼痛评分均明显低于干预前(P<0.05),且干预后治疗组足背动脉搏动、下肢麻木和足部疼痛评分也明显低于对照组(P<0.05)。干预后治疗组生理功能、生理职能、躯体疼痛和总体健康评分明显高于对照组(P<0.05)。[结论]门诊循证护理在糖尿病足干预中的应用可有效降低血糖,提高病人的足部功能与生活质量,从而有利于病人的康复。

Objective：To probe into influence of outpatient evidence-based nursing on foot function and quality of life of patients with diabetic foot. Methods： A total of 120 diabetic foot patients were randomly divided into treatment group and control group based on the random sampling principle 60 cases in each. Patients in control group were given the conventional treatment and care, and patients in treatment group were given positive out- patient evidence- based nursing on the base of control group intervention for 2 weeks. Results： The effective rates were 98.3 % and 86.7 % respectively in treatment group and control group. The curative effect of treat- ment group was significantly higher than that in control group（P〈0.05）. After the intervention,the value of fasting plasma glucose and postprandial blood glucose 2h were significantly lower than those before intervention in both groups（P〈0.05）. The dorsalis pedis artery, lower limb numbness and foot pain scores after intervention were significantly lower than that before intervention in both groups（P〈0.05）. And after intervention the dor- salts pedis artery,lower limb numbness and foot pain scores of treatment group were significantly lower than those of the control group（P〈0.05）. After an investigation the physical functioning, role physical, bodily pain and general health scores of the treatment group were significantly higher than that of control group （P〈 0.05）. Conclusion：Application of outpatient evidence- based nursing in diabetic foot intervention can effectively decrease blood sugar,improve foot function and quality of life of patients. It is contributes to the rehabilitation of patients.