综合护理干预在0级糖尿病足中的疗效评价

Effect of Comprehensive Nursing Intervention in Patients with Diabetic Foot in Grade 0

目的:探讨综合护理干预在0级糖尿病足中的疗效。方法:选取我院收治的0级糖尿病足患者186例,随机分为观察组和对照组,每组93例。对照组给予常规护理,观察组给予综合护理干预,干预时间为1个月。利用一般资料问卷、糖尿病足预防护理知识量表、足部感觉检查量表和糖尿病足自我护理依从性量表评估干预后的疗效。结果:干预后,观察组患者的空腹血糖、餐后血糖均低于对照组(均P<0.05),健康知识得分和自我护理依从性得分均明显高于对照组(均P<0.05)。观察组在下肢足麻木、下肢足冷、下肢足浮肿、足部静息痛、双下肢皮肤温度差异、足部皮肤干燥、足出汗减少和足部胼胝方面明显优于对照组(均P<0.05)。结论:综合护理干预能改善0级糖尿病足患者的血糖和足部症状,提高健康知识水平和足部自我护理的依从性。

Objective:To explore the effect of comprehensive nursing intervention in patients with diabetic foot in grade 0.Methods:A total of 186 patients with diabetic foot in grade 0 in our hospital were selected and divided into the experimental group and the control group,with 93 cases in each group.Routine nursing was given to the control group,and the comprehensive nursing intervention was given to the experimental group,respectively.General information questionnaire,diabetic foot prevention nursing knowledge scale,foot sensory examination scale and diabetic foot self-care compliance scale were used to evaluate the effect of intervention at 1 month after treatment.Results:The fasting and postprandial blood glucose in the experimental group were both lower than those of the control group(both P<0.05).Meanwhile,the scores of health knowledge and self-care compliance were both higher in the experimental group than those of the control group(both P<0.05).The experimental group foot symptoms were significantly better than the control group,including numbness,cold,edema,rest pain,skin temperature difference,dry skin,decreased sweating and callosum(all P<0.05).Conclusion:Comprehensive nursing intervention could improve the blood glucose and the symptoms of foot,increase the level of health knowledge and the compliance of foot self-care.