多学科管理联合60秒糖尿病足风险筛查在糖尿病足患者中的应用

Effects of multidisciplinary management combined with 60-second high-risk diabetic foot screening in patients with diabeticfoot

目的探讨多学科管理联合60秒糖尿病足风险筛查在糖尿病足中的应用效果。方法采用便利抽样法选择2022年1-12月在新乡市中心医院就诊的糖尿病足患者138例, 随机分为对照组和观察组各69例。对照组实施常规糖尿病足随访管理, 观察组在对照组基础上实施多学科管理联合60秒糖尿病足风险筛查, 干预6个月。比较两组糖尿病足Wagner分级进展情况和足部自我护理水平。结果干预后观察组和对照组Wagner分级进展人数分别为4例(5.80%)、10例(14.49%), 观察组进展人数少于对照组, 差异有统计学意义(χ^(2)=4.161, P=0.041);两组干预后糖尿病足自我管理总分及各维度得分均较干预前升高, 但仅观察组干预前后比较差异有统计学意义(P<0.05), 干预后观察组糖尿病足自我管理总分及各维度得分均高于对照组, 差异有统计学意义(P<0.05)。结论多学科管理联合60秒糖尿病足风险筛查可以有效延缓糖尿病足进展, 提高患者足部自我护理能力。

Objective To explore the effect of multidisciplinary management combined with 60-second high-risk diabetic foot screening in diabetic foot.Methods From January to December 2022,138 patients with diabetic foot were selected from Xinxiang Central Hospital by convenience sampling.The patients were randomly divided into a control group and an observation group,with 69 cases in each group.Control group implemented routine follow-up management of diabetic foot,and observation group carried out multidisciplinary management combined with 60-second high-risk diabetic foot screening on the basis of control group,and the intervention lasted for six months.The progress of Wagner grading of diabetic foot and foot self-care were compared between the two groups.Results After intervention,the number of Wagner grading progression patients in observation group and control group was four cases(5.80%)and 10 cases(14.49%),respectively.The number of progression patients in observation group was less than that in control group,and the difference was statistically significant(X^(2)=4.161,P-0.041).The total score and dimension scores of diabetic foot self-management in the two groups after the intervention were higher than those before the intervention,but only the scores of observation group before and after the intervention were statistically significant(P<0.05).After intervention,the total score and dimension scores of diabetic fot self-management in observation group were higher than those in control group,with a statistically significant difference(P<0.05).Conclusions Multidisciplinary management combined with 60-second high-risk diabetic foot screening can effectively delay the progress of diabetic foot and improve patients'foot self-care.