延续护理服务在糖尿病足高危患者护理工作中的应用价值体会

Application Value of Continuous Nursing Service in Nursing Work of High Risk Patients with Diabetic foot

目的辅以延续护理干预应用于糖尿病足高危患者的护理工作中,以此分析延续护理干预的应用价值。方法选择糖尿病足高危患者,例数:70例,时间:2017年10月-2019年5月,随机分对照组与研究组,组别各有例数35例,分别予以:常规护理、延续护理干预。对组间的足部皮肤皲裂发生率、感染发生率、干预后空腹血糖、干预后餐后2 h血糖、干预后糖化血红蛋白进行指标对比。结果就研究组而言,其足部皮肤皲裂发生率(2.86%)、感染发生率(5.71%)、干预后空腹血糖(7.33±1.11 mmol/L)、干预后餐后2 h血糖(8.32±0.91)mmol/L、干预后糖化血红蛋白(6.91±0.32)%指标均比对照组[足部皮肤皲裂发生率、感染发生率、干预后空腹血糖、干预后餐后2 h血糖、干预后糖化血红蛋白分别:20.00%、22.86%、(9.67±1.12)mmol/L、(10.56±0.67)mmol/L、(7.99±0.23)%]更低,差异有统计学意义(P<0.05)。结论辅以延续护理干预应用于糖尿病足高危患者的护理工作中,可以降低患者的足部皮肤皲裂发生率和感染发生率,能够改善患者的血糖水平指标。

Objective To analyze the application value of continuous nursing intervention in the nursing of high risk patients with diabetic foot. Methods 70 patients with high risk of diabetic foot were randomly divided into control group(n=35) and study group(n=35) from October 2017 to May 2019. The incidence of chapped skin of foot, the incidence of infection, fasting blood glucose after intervention, postmeal blood glucose and glycosylated hemoglobin after intervention were compared. Results As far as the study group was concerned, the skin of the foot was The incidence of skin-skin crack(2.86%), the incidence of infection(5.71%), the fasting blood glucose(7.33±1.11)mmol/L after the intervention, the blood glucose(8.32±0.91)mmol/L after the intervention, and the post-intervention glycosylated hemoglobin(6.91±0.32)%were all higher than that of the control group(the incidence of the skin crack of the foot). The incidence of infection, the fasting blood sugar after intervention, the blood glucose after the intervention, the glycosylated hemoglobin after intervention were 20.00%,22.86%,(9.67±1.12)mmol/L,(10.56±0.67)mmol/L,(7.99±0.23%)% was lower, and the difference was significant(P< 0.05). Conclusion The application of continuous nursing intervention in the nursing work of high risk patients with diabetic foot can reduce the incidence of chapped foot skin and the incidence of infection, and can improve the blood glucose level of patients.