延续护理在糖尿病足高危患者中的应用研究

Application of Continuous Nursing in Patients with High Risk of Diabetic Foot

目的研究延续护理是否会对糖尿病足高危患者自我足部的护理能力、自我管理能力以及血糖控制水平产生影响。方法从糖尿病足高危患者中随机抽取100位患者平均分为延续护理组和常规护理组。常规护理组给予常规护理,延续护理组患者进行延续护理。在进行护理4个月后测量患者的血糖并观察患者对于自己足部的护理能力和管理自己的能力。结果护理1个月后延续护理组空腹血糖的测量情况是(7.18±1.98)mmol/L,糖化血红蛋白为(7.45±0.88)%,自我足部护理能力和自我管理能力的得分分别为(64.34±10.39)分和(113.20±9.97)分。常规护理组空腹血糖的测量情况是(8.11±2.07)mmol/L,糖化血红蛋白为(8.02±0.92)%,自我足部护理能力和自我管理能力的得分分别为(64.34±10.39)分和(89.12±13.20)分;两组患者各方面值比较差异有统计学意义(P<0.05)。结论延续护理可以使得患者血糖水平得到改善并且提高患者的自我足部护理能力和自我管理能力。

Objective To study whether the impact of continued nursing on diabetic foot foot patients at high risk of self nursing ability,self management ability and the level of blood glucose control.Methods from the patients with high risk of diabetes foot were randomly selected 100 patients divided into average extended care group and routine nursing group.The routine nursing group were given routine nursing care,extended care group were continuing nursing.Measurement of blood glucose of patients with and observation of patients for nursing ability and management ability of their own in the foot care after 4 months.Results the measurement of fasting blood glucose continue nursing care group after one month is（7.18 ± 1.98） mmol/L,glycated hemoglobin（7.45 ± 0.88）%,self foot care ability and self management ability scores were（64.34 ± 10.39） and（113.20 ± 9.97） points.Measurement of fasting blood glucose is the routine nursing group（8.11 ±2.07） mmol/L,glycated hemoglobin（8.02 ± 0.92）%,self foot care ability and self management ability scores were（64.34 ± 10.39） and（89.12 ± 13.20）;compared two groups of patients the parties face value has significant differences（P〈0.05）.Conclusion extended care can make the blood glucose of patients is improved and improve self foot care ability of patients and self management ability.