家庭访视在糖尿病足患者出院后的应用效果

Application effect of home visit in patients with diabetic foot after discharge

目的探讨家庭访视在糖尿病足患者出院后的应用效果。方法选取江西省赣州市人民医院内分泌科2022年1月至12月的100例糖尿病足患者作为研究对象,采用随机数字表法将其分为对照组和干预组,各50例,对照组出院后给予常规电话和门诊随访,干预组则在对照组基础上接受家庭访视干预方法。比较两组患者的足部溃疡愈合时间及愈合率、复发率、患者治疗满意度、负面情绪[焦虑自评量表(SAS)和抑郁自评量表(SDS)]。结果干预组溃疡愈合时间短于对照组,差异有统计学意义(P<0.05);两组患者的溃疡愈合率比较,差异无统计学意义(P>0.05);干预组的复发率低于对照组,差异有统计学意义(P<0.05);干预组患者的治疗满意度高于对照组,差异有统计学意义(P<0.05);干预前,两组患者的SAS、SDS评分比较,差异无统计学意义(P>0.05);干预后,两组患者的SAS、SDS评分均低于本组干预前,且干预组的SAS、SDS评分均低于对照组,差异有统计学意义(P<0.05)。结论家庭访视可明显改善糖尿病足患者归转情况,促进溃疡更快愈合,降低复发率,提升患者治疗满意度、降低患者的负面情绪。

Objective To explore the application effect of home visit in diabetic foot patients after discharge.Methods A total of 100 cases of diabetic foot patients discharged from the Department of Endocrine of Ganzhou City People's Hospital of Jiangxi Province from January to December 2022 were selected as the study objects,and they were divided into control group and intervention group according to random number table method,with 50 cases in each group.The control group was given routine telephone and outpatient follow-up after discharge from the hospital,while the intervention group received the home visiting intervention method on the basis of the control group.The foot ulcer healing time,healing rate,recurrence rate,treatment satisfaction,negative emotions(self-rating anxiety scale[SAS]and self-rating depression scale[SDS])were compared between the two groups.Results The ulcer healing time of the intervention group was shorter than that of the control group,and the difference was statistically significant(P<0.05).There was no statistically significant difference in ulcer healing rate between the two groups(P>0.05).The recurrence rate of intervention group was lower than that of control group,and the difference was statistically significant(P<0.05).The treatment satisfaction of the intervention group was higher than that of the control group,and the difference was statistically significant(P<0.05).Before intervention,there were no statistically significant differences in SAS and SDS scores between the two groups(P>0.05).After intervention,the SAS and SDS scores of the two groups were lower than those before intervention,and the SAS and SDS scores of the intervention group were lower than those of the control group,and the differences were statistically significant(P<0.05).Conclusion Home visits can significantly improve the return of diabetic foot patients,promote faster healing of ulcers,reduce the recurrence rate,enhance patient treatment satisfaction and reduce the negative emotions of patients.