集束化护理在预防糖尿病足意外发生中的应用

Application of bundled nursing on diabetic foot accident prevention

目的：探讨集束化护理对预防糖尿病患者住院期间糖尿病足意外发生的效果。方法筛选2011年8月—2012年1月住院糖尿病患者126例为对照组,2013年8月—2014年1月住院糖尿病患者121例为观察组,对照组进行糖尿病足部预防健康教育指导,观察组进行预防糖尿病足意外发生的集束化护理与管理。比较两组患者住院期间糖尿病足意外事件发生情况、糖尿病足部护理知识和足部自我护理操作评分。结果住院期间观察组患者无一例糖尿病足意外事件发生,对照组发生率为22.22%；观察组患者糖尿病足部护理知识、足部自我护理操作得分分别为（35.39±3.09）,（86.93±3.99）分,均高于对照组的（26.05±5.53）,（60.04±10.95）分,差异有统计学意义（t值分别为52.87,61.54；P〈0.01）。结论集束化护理能有效预防糖尿病足的意外发生,确保糖尿病患者住院期间的护理安全。

Objective To discuss the effect of bundled nursing for diabetic foot accident prevention. Methods We chose 126 hospitalized diabetic patients from August 2011 to January 2012 as control group, and 121 patients from August 2013 to January 2014 as observation group. The former group guided with health education, and the latter group treated with bundled nursing for diabetic foot prevention. The incidence rate of diabetic foot, diabetes foot care knowledge and self-rating of foot self-care compared between two groups. Results There were no incidence of diabetic foot accident happened in the observation group while 22. 22% of diabetic foot accident occurred in the control group. The knowledge scores of diabetic foot care and foot self-care acquired （35. 39 ± 3. 09） and （86. 93 ± 3. 99） in the observation group compared with （26. 05 ± 5. 53） and （60. 04 ± 10. 95） in the control group （t=52. 87, 61. 54,respectively;P〈0. 01）. Conclusions Bundled care for diabetic foot accident prevention could effectively prevent the occurrence of diabetic foot accident, which ensure the safety of the care for hospitalized diabetic patients.