糖尿病足溃疡复发的患者应用预见性护理的效果研究

Study on the effect of predictive nursing in patients with recurrent diabetic foot ulcer

目的分析糖尿病足(DF)溃疡复发的患者应用预见性护理的效果研究。方法选取2019年1—12月南昌大学第二附属医院收治的DF溃疡复发80例患者,按随机数字表法分为对照组与观察组,每组各40例。对照组给予常规性护理,观察组给予预见性护理,比较两组的护理良好度、血糖、生活质量、截肢发生率和疾病复发率。结果观察组的足部护理良好度高于对照组,差异有统计学意义(P<0.05);两组护理前的血糖比较,差异无统计学意义(P>0.05);两组护理后的血糖指标低于护理前,且观察组护理后的血糖指标低于对照组,差异均有统计学意义(P<0.05)。两组护理前的生活质量评分比较,差异无统计学意义(P>0.05);两组护理后的生活质量评分高于护理前,且观察组护理后的生活质量评分高于对照组,差异均有统计学意义(P<0.05)。观察组的截肢发生率、溃疡复发率低于对照组,差异有统计学意义(P<0.05)。结论DF溃疡复发患者预见性护理可有效降低DF溃疡复发率,提升护理效果,有临床应用价值。

Objective To analyze the effect of predictive nursing in patients with recurrent diabetic foot(DF)ulcer.Methods A total of 80 patients with DF ulcer recurrence admitted to the Second Affiliated Hospital of Nanchang University from January to December 2019 were selected and divided into the control group and the observation group according to random number table method,40 cases in each group.The control group was given routine nursing and the observation group was given the method of predictive nursing.The good nursing degree,blood glucose,quality of life,incidence of amputation and disease recurrence rate of the two groups were compared.Results The good degree of foot care in observation group was higher than that in control group,the difference was statistically significant(P<0.05).There was no significant difference the blood glucose index between the two groups before nursing(P>0.05).The blood sugar index of two groups after nursing was lower than that before nursing,the blood glucose index after nursing in the observation group was lower than that in the control group,the differences were statistically significant(P<0.05).Quality of life before nursing between the two groups showed no statistically significant difference(P>0.05).The quality of life scores of the observation group and the control group after nursing were higher than those before nursing,the quality of life score of the observation group was higher than that of the control group,the difference were statistically significant(P<0.05).The incidence of amputation and disease recurrence in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion Predictive nursing can effectively reduce the recurrence rate of DF ulcer,improve the treatment effect and have clinical application value.