循证护理模式对糖尿病足患者血糖水平、足部功能恢复及神经病变的影响

Effect of evidence-based nursing model on blood glucose level,foot function recovery and neuropathy in patients with diabetic foot

目的探讨循证护理模式对糖尿病足(DF)患者血糖水平、足部功能恢复及神经病变的影响。方法选取2018年1月~2019年12月南昌大学第二附属医院收治的88例的DF患者,按随机数字表法分为两组,每组各44例。对照组给予常规护理,观察组采用循证护理模式。比较两组的血糖水平、足部功能、神经病变及血管病变情况。结果观察组干预1个月后的空腹血糖为(6.31±1.43)mmol/L、餐后2 h血糖为(7.50±1.71)mmol/L、足背动脉搏动为(1.23±0.28)分、下肢麻木为(0.85±0.17)分、足背疼痛为(1.21±0.41)分、周围神经病变为(4.74±0.85)分,低于对照组的(7.18±1.27)mmol/L、(8.89±1.38)mmol/L、(1.62±0.47)分、(1.22±0.40)分、(1.73±0.56)分、(5.59±1.37)分,差异均有统计学意义(P<0.05)。两组干预前的血糖水平、足部功能、神经病变及血管病变情况比较,差异无统计学意义(P>0.05);两组干预1个月后的血糖水平、足部功能、神经病变低于干预前,差异均有统计学意义(P<0.05)。结论循证护理模式能降低糖尿病足患者的血糖水平,提高足部功能,减轻周围神经及血管病变程度,促进患者恢复。

Objective To investigate the effect of evidence-based nursing model on blood glucose level,recovery of foot function and neuropathy in patients with diabetic foot(DF).Methods A total of 88 cases of patients with DF who were admitted to the Second Affiliated Hospital of Nanchang University from January 2018 to December 2019 were selected as the research subjects,and they were divided into two groups according to the random number table method,44 cases in each group.The control group underwent routine nursing,while the observation group was given evidence-based nursing model.The blood glucose level,foot function,neuropathy and vascular disease of the two groups were compared.Results The fasting blood glucose,2 h postprandial blood glucose,dorsalis pedis artery pulse,numbness of lower limb,foot pain and peripheral neuropathy in the observation group were(6.31±1.43)mmol/L,(7.50±1.71)mmol/L,(1.23±0.28)points,(0.85±0.17)points,(1.21±0.41)points,(4.74±0.85)points lower than those in the control group of(7.18±1.27)mmol/L,(8.89±1.38)mmol/L,(1.62±0.47)points,(1.22±0.40)points,(1.73±0.56)points,(5.59±1.37)points,after intervention for 1 month,and the differences were statistically significant(P<0.05).There were no statistically significant differences between the two groups in blood glucose level,foot function,neuropathy and vascular disease before intervention(P>0.05).After 1 month of intervention,the blood glucose level,foot function and neuropathy of the two groups were lower than that before intervention,and the ankle-brachial index was higher than that before intervention,with statistical differences(P<0.05).Conclusion The evidence-based nursing model can decrease the blood glucose level of patients with DF,improve the foot function,alleviate the degree of peripheral nerve and vascular disease,and promote the recovery of patients.