糖尿病足的早期筛查适宜技术在基层医院中的应用

Application of early screening suitable techniques for diabetic foot in primary hospitals

目的探讨糖尿病高危足的简易筛查技术在基层医院中的推广应用。方法选择推广应用的二家社区服务中心360例2型糖尿病患者为观察组,应用简易筛查技术(10 g尼龙单丝、128 Hz音叉等)进行糖尿病足的早期筛查与诊断,另选未推广应用的二家社区服务中心360例2型糖尿病患者为对照组;调查糖尿病足相关知识的知晓率,护理知识情况及糖尿病足早期诊断率。结果社区患者对糖尿病足的知晓率仅为32.2%,对足部的日常护理知识了解程度极低;仅4.9%的患者曾接受过糖尿病足相关知识教育;观察组糖尿病足风险在1级及以上的诊断率为32.5%(117例),高于对照组自主就诊的诊断率10.6%(38例)(P<0.05)。结论简易筛查适宜技术在基层医院中有较高的应用价值,可以显著提高糖尿病高危足的诊断率,值得推广应用。

Objective To explore the promotion and application of simple screening technique for high-risk diabetes in primary hospitals.Methods A total of 360 cases of type 2 diabetes patients in the two community service centers for promotion and application were selected as observation group.Simple screening techniques(10 g nylon monofilament,128 Hz tuning fork,etc.)were used for early screening and diagnosis of diabetic foot.360 patients with type 2 diabetes in the two community service centers without promotion and application were served as the control group.The awareness rate of diabetes-related knowledge,nursing knowledge and early diagnosis rate of diabetic foot were investigated.Results The awareness rate of diabetic foot in community patients was only 32.2%,and the knowledge of daily nursing knowledge of the foot was extremely low.Only 4.9%of patients had received knowledge about diabetes foot.The diagnosis rate of the risk of diabetic foot in observation group≥level 1 was 32.5%(117 cases),which was higher than that of the control group(10.6%,38 cases),(P<0.05).Conclusion Simple screening appropriate technology has higher application value in primary hospitals,which can significantly improve the diagnostic rate of high-risk diabetes,and is worthy of popularization and application.