基于老年综合评估的护理干预对老年糖尿病足患者血糖控制、创面愈合的影响

Effects of Nursing Intervention Based on Geriatric Comprehensive Assess⁃ment on Blood Glucose Control and Wound Healing in Elderly Patients with Diabetic Foot

目的 探讨糖尿病足老年患者实行基于老年综合评估的护理干预对血糖控制、创面愈合的影响。方法选取2021年6月—2023年6月北京积水潭医院贵州医院收治的80例糖尿病足老年患者为研究对象,按照随机抽样法分为两组,每组40例。对照组采用常规护理,研究组采用基于老年综合评估的护理干预,比较两组患者血糖控制、创面愈合、足部健康行为及生活质量评分。结果 研究组空腹血糖及餐后2 h血糖低于对照组,差异有统计学意义(P均<0.05)。研究组边缘新鲜肉芽生长时间、基底新鲜肉芽生长时间及腐肉脱净时间均短于对照组,差异有统计学意义(P均<0.05)。研究组足部健康行为评分和生活质量评分均高于对照组,差异有统计学意义(P均<0.05)。结论 糖尿病足老年患者实行基于老年综合评估的护理干预,能够有效控制患者血糖水平,缩短腐肉脱净时间,提升足部健康行为,保证生活质量,实践价值较高。

Objective To investigate the effects of nursing intervention based on geriatric comprehensive assessment on blood glucose control and wound healing in elderly patients with diabetic foot.Methods A total of 80 elderly pa-tients with diabetic foot admitted to Guizhou Hospital of Beijing Jishuitan Hospital from June 2021 to June 2023 were selected as the study objects and divided into two groups according to random sampling method,with 40 cases in each group.The control group received routine nursing,and the study group received nursing intervention based on compre-hensive geriatric assessment.Blood glucose control,trauma healing,foot health behaviors and quality of life scores were compared between the two groups.Results Fasting blood glucose and 2 h postprandial blood glucose in the study group were lower than those in the control group,the differences were statistically significant(both P<0.05).The growth time of marginal fresh granulation,basal fresh granulation and rotting meat removal time in study group were shorter than those in control group,and the differences were statistically significant(all P<0.05).The scores of foot health behavior and quality of life in the study group were higher than those in the control group,and the differences were statistically significant(both P<0.05).Conclusion The implementation of nursing intervention based on geriatric comprehensive assessment in elderly patients with diabetic foot can effectively control the patient's blood glucose level,shorten the time of carrion removal,elevate the foot health behavior,and ensure the quality of life,with high practical value.