延续性护理对糖尿病足合并感染风险患者的护理效果分析

Analysis of Nursing Effect of Continuous Nursing on Patients with Diabetic Foot Complicated with Infection Risk

目的观察在患有糖尿病足且出现感染风险的患者当中,延续性护理的应用效果。方法选择该院2019年1月—2020年3月收治的74例糖尿病足合并感染风险患者为对象,将其随机均分成对照组(n=37)和实验组(n=37),对照组患者接受常规护理干预,实验组对象则需接受延续性护理,对两组患者接受不同方式护理后的感染、脓肿、骨髓炎等并发症发生率进行分析,并对两组患者接受护理干预前后的血糖指标、生活质量进行比较,同时分析两组患者的护理满意度情况,并观察患者护理前后的焦虑、抑郁负性情绪。结果实验组患者接受护理后的感染等并发症发生率明显低于对照组,且干预后的血糖水平更低,SF-36量表分值高于对照组,护理满意率也高于对照组,两组患者的数据进行分析后差异有统计学意义(P<0.05)。两组患者接受不同方式护理前的SAS、SDS分值差异无统计学意义(P>0.05),实验组患者接受护理后的SAS、SDS分值均低于对照组,数据统计学差异有统计学意义(P<0.05)。结论对于存在感染风险的糖尿病足患者,接受延续性护理的效果较好,可以降低感染等并发症发生率,该护理模式可行性较强。

Objective To observe the effect of continuous care in patients with diabetic feet who are at risk of infection.Methods Select 74 diabetic foot patients at risk of infection from January 2019 to March 2020 in the hospital,and randomly divide them into a control group(n=37)and an experimental group(n=37),the control group received routine nursing intervention,while the experimental group required continuous nursing.The incidence of infection,abscess,osteomyelitis and other complications of the two groups of patients after receiving different ways of nursing was analyzed,and the two groups of patients before and after the nursing intervention were analyzed.The blood glucose index and quality of life were compared,and the nursing satisfaction of the two groups of patients was analyzed at the same time,and the anxiety,depression and negative emotion of the patients before and after nursing were observed.Results The incidence of complications such as infections in the experimental group after receiving nursing care was significantly lower than that in the control group,and the blood glucose level after intervention was lower,the SF-36 scale score was higher than that of the control group,and the nursing satisfaction rate was also higher than that of the control group,the data of the two groups of patients were statistically different after analysis(P<0.05).There was no statistically significant difference in the SAS and SDS scores of the two groups of patients before receiving different ways of nursing(P>0.05).The SAS and SDS scores of the experimental group after receiving nursing were lower than those of the control group,the difference was statistically significant(P<0.05).Conclusion For diabetic foot patients who are at risk of infection,the effect of receiving continuous care is better,and the incidence of complications such as infection can be reduced.This nursing model is more feasible.