延伸护理有效干预糖尿病足复发的效果研究

Effect of Extended Nursing Intervention on Diabetic Foot Recurrence

目的:研究延伸护理有效干预糖尿病足(DF)的效果。方法:以某院2013年5月~2015年10月收治的60例DF病例为研究对象,并按随机法划分组,实验组(30例)出院后实施延伸护理,对照组(30例)据健康教育内容出院后实施自我护理,统计对比两组DF复发率与饮食、运动、血糖、糖尿病等知识掌握情况。结果:实验组出院后DF复发率(3.333%)较对照组(20.000%)明显偏低,差异显著(P<0.05);实验组足部护理、降糖药物、血糖控制、运动、饮食、健康行为6方面的知识掌握评分为(74.69±2.42)分、(95.48±2.18)分、(97.14±1.20)分、(95.66±2.07)分、(96.43±1.50)分、(95.39±1.26)分,较对照组明显偏高,差异显著(P<0.01)。结论:延伸护理的实施可有效提高相关知识的掌握率,使病人健康行为得到进一步规范,使出院后DF复发率得到效预防,值得应用。

Objective：To study the effect of extended care intervention on diabetic foot（DF）.Methods：60 cases of patients with DF treated in a hospital from May 2013 to October 2015 were selected as the research object,and divided into two groups according to random method.The experimental group（30 cases）were treated with extended nursing after discharge,and the control group（30 cases）were treated with self-nursing after discharge from hospital according to the contents of health education.The DF recurrence rate and knowledge of diet,exercise,blood sugar and diabetes between the two groups were compared.Results：The recurrence rate of DF in the experimental group（3.333%）was significantly lower than that in the control group（20.000%）,and the difference was significant（P〈0.05）.The scores of foot nursing,hypoglycemic drugs,blood glucose control,exercise,diet and health behavior in the experimental group were（74.69±2.42）（95.4±2.18）,（97.14±1.20）,（95.66±2.07）,（96.43±1.50）,（95.39±1.26）respectively,which were significantly higher than those of the control group（P〈0.01）.Conclusion：The implementation of extended nursing can effectively improve the mastering rate of relevant knowledge,further standardize the healthy behavior of patients,and prevent the recurrence rate of DF effectively after discharge,which is worthy of application.