采用赋能教育模式对糖尿病足患者护理的效果分析

Effect Analysis of Empowerment Education Model for Diabetic Foot Care

目的探讨采用赋能教育模式对Wagner 0级糖尿病足患者护理后的效果.方法选择Wagner 0糖尿病足患者81例,分为对照组及观察组,分别有40例、41例.对照组采用常规方法护理,观察组采用赋能教育模式进行护理.对治疗后患者ABI、TBI、VPT、DMSES及DSQL评分、血糖控制情况进行检测.结果对照组干预后ABI、TBI、VPT较干预前略有变化但差异无统计学意义(P>0.05),观察组干预后ABI、TBI、VPT较干预前及对照组差异有统计学意义(P<0.05).对照组干预后DMSES较干预前差异有统计学意义(P<0.05),观察组干预后DMSES及DSQL评分较干预前及对照组差异有统计学意义(P<0.05).观察组干预后FBG、Hb Alc、每日测血糖次数较干预前差异有统计学意义(P<0.05),每日测血糖次数较对照组干预后有增加(P<0.05).结论采用赋能教育可有效缓解Wagner 0级糖尿病足进展,并改善患者的自我效能量、生存质量及自我管理水平.

Objective To investigate the efficacy of empowerment education model for Wagner 0 diabetic foot care. Methods 81 cases of patients with diabetic foot Wagner 0 were divided into a control group （40 cases） and the observation group （41 cases） . Control group accepted conventional methods of care, and the observation group accepted empowerment education model. After treatment, ABI, TBI, VFF, DMSES and DSQL scores, and glycemic control were tested. Results After intervention, ABI, TBI and VPT showed slight changes but showed no significant difference in the control group （P 〉 0.05） . In the intervention group, AB[, TBI and VPT had significantly increased after intervention compared with pre-intervention and the control group （P 〈 0.05） . DMSES in the control group increased after intervention significantly （P 〈 0.05） . After intervention, DSQL and DMSES in the observation group showed significant differences compared with pre-intervention and the control group （P 〈 0.05） . In the intervention group, FBG, HbAlc and the times of daily blood sugar test of had improved significantly （P 〈 0.05） , and the times of daily blood sugar was higher than that in the control group after intervention （P 〈 0.05） Conclusion Empowerment education can effectively control diabetic foot Wagner 0 progression and improve the self-efficacy, quality of life and self-management of patients.