延续性护理措施在糖尿病高危足患者中的应用效果

Application effect of continuous nursing measures in patients with high-risk diabetic foot

目的探讨延续性护理措施在糖尿病高危足患者中的应用效果。方法选择2017年6月至2018年6月宝鸡市中心医院收治的200例糖尿病高危足患者为研究对象,将其随机分为观察组和对照组,各100例。对照组采用常规护理措施,观察组在对照组的基础上采用延续性护理措施。比较两组患者足部护理行为评分、空腹血糖、餐后2h血糖水平及糖化血红蛋白。结果干预前,两组患者足部护理行为评分比较,差异无统计学意义(P>0.05);干预后,两组患者足部护理行为评分均提高,且观察组高于对照组,差异具有统计学意义(P<0.05)。干预前,两组患者空腹血糖、餐后2h血糖水平及糖化血红蛋白比较,差异无统计学意义(P>0.05);干预后,两组患者空腹血糖、餐后2h血糖水平及糖化血红蛋白均降低,且观察组低于对照组,差异具有统计学意义(P<0.05)。结论延续性护理措施能强化患者对糖尿病高危足自我管理行为,提高治疗依从性,改善血糖水平,进而提高治疗效果及生存质量,促进患者的快速康复。

Objective To explore the application effect of continuous nursing measures in patients with high-risk diabetic foot. Methods A total of 200 patients with high-risk diabetic foot admitted in Baoji Center Hospital from June 2017 to June 2018 were selected as the research objects and randomly divided into observation group and control group, with 100 cases in each group. The control group was given routine nursing measures, while the observation group was given continuing nursing measures on the basis of the control group. The foot nursing behavior score, levels of fasting blood sugar and 2 h postprandial blood sugar and glycosylated hemoglobin were compared between the two groups. Results Before intervention, there was no significant difference in foot nursing behavior score between the two groups (P>0.05). After intervention, the foot nursing behavior scores in the two groups improved, and that in the observation group was higher than the control group, the difference was statistically significant (P<0.05). Before intervention, there were no significant differences in the levels of fasting blood sugar and 2 h postprandial blood sugar and glycosylated hemoglobin between the two groups (P>0.05). After intervention, the levels of fasting blood sugar and 2 h postprandial blood sugar and glycosylated hemoglobin in the two groups decreased, and those in the observation group were lower than the control group, the differences were statistically significant (P<0.05). Conclusion Continuous nursing measures can strengthen the self-management behavior of patients with high-risk diabetic foot, improve the treatment compliance, blood sugar level, and then improve treatment effect and quality of life, and promote the rapid recovery of patients.