糖尿病并发足部感染的伤口湿性换药护理

Nursing Care of Diabetic Wound with Foot Infection

目的对糖尿病并发足部感染患者实施伤口湿性换药护理,探讨该方法的护理效果。方法对该院门诊于2018年11月—2019年12月治疗的糖尿病并发足部感染患者进行筛选,从中方便选择106例患者作为该次研究的对象,奇偶数法随机分为研究组与对照组,每组53例。对照组实施干性换药护理,研究组实施湿性换药护理。比较两组患者换药次数、换药间隔时间、换药依从性以及创面愈合效果。结果研究组患者换药次数(4.01±0.52)次/周低于对照组换药次数(6.33±0.49)次/周,研究组换药间隔时间(1.74±0.32)d长于(1.09±0.38)d,差异有统计学意义(t=23.639、9.525,P<0.05);研究组患者换药依从性98.11%明显高于对照组77.36%,差异有统计学意义(χ^(2)=10.609,P<0.05);研究组创面愈合总有效率100.00%高于对照组的81.13%,差异有统计学意义(χ^(2)=11.042,P<0.05)。结论对糖尿病并发足部感染患者实施伤口湿性换药护理可以减少换药次数,能够提升患者换药依从性,更有利于创面愈合,值得应用。

Objective To implement wet dressing care for patients with diabetes complicated by foot infection,and to explore the nursing effect of this method.Methods We screened patients with diabetes and foot infection who were treated in the hospital from November 2018 to December 2019.106 patients were selected as the subjects of this study.The odd-even number method was used to randomly divide the patients into study group and control group.There were 53 cases in each group.The control group implemented dry dressing care,and the study group implemented wet dressing care.The number of dressing changes,the interval between dressing changes,the compliance of dressing changes and the effect of wound healing were compared between the two groups.Results The number of dressing changes in the study group(4.01±0.52)times/week was lower than the number of dressing changes in the control group(6.33±0.49)times/week,and the interval between dressing changes(1.74±0.32)d in the study group was longer than(1.09±0.38)d,the differences were statistically significant(t=23.639,9.525,P<0.05);98.11%of the patients in the study group had significantly higher compliance with dressing change than the control group,77.36%,and the difference was statistically significant(χ^(2)=10.609,P<0.05);the total effective rate of wound healing in the study group was 100.00%,which were higher than 81.13%in the control group,and the difference was statistically significant(χ^(2)=11.042,P<0.05).Conclusion Wet wound dressing care for patients with diabetes complicated by foot infection can reduce the frequency of dressing change,improve the patient's compliance with dressing change,and is more conducive to wound healing.It is worthy of application.