延续护理在老年糖尿病足预见性护理中的应用研究

Application Study of Continuation Nursing in Predictive Nursing of Elderly Diabetic Foot

目的:研究延续护理在老年糖尿病足预见性护理中的应用效果。方法:采用分层比例法将130例筛查为0级糖尿病足的老年患者分为两组,对照组给予常规出院指导,研究组在对照组基础上给予延续护理干预。不同干预措施实施1年后,观察两组糖尿病足发生率,并比较两组出院前及出院1年后的自护行为量表、认知功能量表评分及血糖控制指标(空腹血浆葡萄糖、糖化血红蛋白)变化。结果:研究组糖尿病足发生率、血糖控制指标均低于对照组,差异均有统计学意义(P<0.05);研究组自护行为及认知功能量表评分均高于对照组,差异均有统计学意义(P<0.01)。结论:延续护理干预应用于老年糖尿病足预见性护理,可提高患者自我护理能力,改善血糖控制水平,并减少糖尿病足发生率。

Objective:To study the application effect of continuous nursing in the predictive nursing of elderly diabetic foot.Method:A total of 130 elderly patients with grade 0 diabetic foot were divided into two groups by stratified proportional method.Patients in the control group were given routine discharge guidance,and patients in the study group were given continuous nursing intervention on the basis of the control group.One year after the implementation of different interventions,the incidence of diabetic foot was observed in the two groups,and the self-care behavior scale,cognitive function scale score and blood glucose control index(fasting blood glucose and glycated hemoglobin)before and after discharge from two groups were compared.Result:The incidence of diabetic foot and blood glucose control in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).The self-protective behavior and cognitive function scale scores were higher than those of the control group(P<0.01).Conclusion:The use of continuous nursing intervention in the predictive care of elderly diabetic foot can improve the self-care ability of patients,improve the level of blood sugar control,and reduce the incidence of diabetic foot.