链式专案管理在糖尿病足患者延续护理中的应用研究

Research on application of chain project management in the continuous nursing of diabetic foot patients

目的:探讨链式专案管理在糖尿病足患者延续护理中的应用效果。方法:选择2013年9月~2014年8月就诊于我院的首发糖尿病足患者50例为对照组,采用常规管理;选择2014年9月~2015年8月就诊于我院的首发糖尿病足患者50例为试验组,采用链式专案管理,比较两组糖尿病足患者干预前后各相关指标的差异性。结果:试验组糖尿病足患者干预后糖尿病足部护理知识评分、糖尿病足部护理行为评分、护理满意度评分高于对照组(P<0.05),干预后1年内因糖尿病足恶化再入院率、坏疽及截肢率均低于对照组(P<0.05)。结论:将链式专案管理应用于糖尿病足患者的延续护理中,能显著提高该类患者的疾病自护知识与自护行为能力,降低病情恶化风险,提高护理满意度。

Objective： To discuss the effect of application of chain project management in the continuous nursing of diabetic foot patients. Methods： Selected50 cases of diabetic foot patients（ first attack） treated in our hospital in the period from September 2013 to August 2014 and they were took as control group,routine management was offered to the control group; selected 50 cases of diabetic foot patients（ first attack） treated in our hospital in the period from September 2014 to August 2015 and they were took as experimental group,chain project management was offered to the experimental group; and then the patients from these two groups were compared in difference of related indexes before and after intervention. Results： After intervention,the patients from experimental group had higher scores of diabetic foot nursing knowledge,diabetic foot nursing behavior,and nursing satisfaction than those from control group（ P〈0. 05）,and within one year after intervention,the patients from experimental group had lower readmission rate,gangrene and amputation rate due to disease progression than those from control group（ P〈0. 05）. Conclusion： Through application of chain project management in the continuous nursing of diabetic foot patients,it could obviously improve the self-cursing knowledge and abilities,reduce the disease deterioration risk,and improve the nursing satisfaction of these patients.