Analysis of the Effect of Comfort Care in The Perioperative Care of Patients with Hysteromyomectomy and its Influence on Self-Care Ability

Objective:To analyze the effect of perioperative comfort care for patients with hysteromyomectomy(HYS).Methods:Seventy cases of HYS patients admitted to our hospital from October 2022 to October 2023 were randomly selected and divided into Group A(control group,35 cases,conventional care)and Group B(observation group 35 cases,comfort care).The effects of the two groups before and after nursing care were compared.Results:The self-rating anxiety(SAS)scores,exercise of self-care agency(ESCA)scores,and nursing satisfaction scores at the time of discharge of Group B were better than in Group A after nursing care(P<0.05).Conclusion:Perioperative comfort care for HYS patients improved the patient’s adverse emotions,self-care ability,and nursing satisfaction.

Analysis of the Application Effect of Family Collaborative Care Model on Elderly Patients with Type 2 Diabetes Mellitus and the Situation of Self-Care Ability

Objective: To study the application effect of the family collaborative care model on elderly patients with type 2 diabetes mellitus and its influence on self-care ability. Methods: The elderly type 2 diabetes mellitus patients (400 cases) treated in our hospital between March 2020 and July 2023 were divided into two groups by randomized grouping method;the control group received the conventional nursing program, while the observation group received the family collaborative nursing model. Blood glucose level, self-care ability, and quality of life were compared between the groups. Results: The blood glucose level of the observation group was lower than that of the control group (P < 0.05). The self- care ability and quality of life scores of the observation group were higher than those of the control group (P < 0.05). Conclusion: The family collaborative care model for elderly patients with type 2 diabetes mellitus can promote their self- care ability, improve the effect of glycemic control, and improve their quality of life, and is suitable for further promotion and application.

Research on the Intervention of Visual Cue Strategy on Self-Care Ability of Children with Autism

The formation of self-care ability is the first step for children with autism to enter the society,and it is also a prerequisite and guarantee for their independent survival.This study aimed to explore the impact of visual cue strategies on the self-care ability of children with autism.Based on the ABA design of a single case study,this research conducted a four-month intervention on a seven-year-old child with autism via visual cue strategy as independent variables and sock-wearing skills as dependent variables,in order to explore the effect of visual cue strategy on self-care ability of children with autism.It turned out that visual cue strategy exerts a positive immediate sustained effect and social validity on the self-care ability of children with autism.Lastly,suggestions were provided for future related research based on the research process,results,and limitations.

Whole-process case management effects on mental state and selfcare ability in patients with liver cancer

BACKGROUND Regarding the incidence of malignant tumors in China,the incidence of liver cancer ranks fourth,second only to lung,gastric,and esophageal cancers.The case fatality rate ranks third after lung and cervical cancer.In a previous study,the whole-process management model was applied to patients with breast cancer,which effectively reduced their negative emotions and improved treatment adherence and nursing satisfaction.METHODS In this single-center,randomized,controlled study,60 randomly selected patients with liver cancer who had been admitted to our hospital from January 2021 to January 2022 were randomly divided into an observation group(n=30),who received whole-process case management on the basis of routine nursing mea-sures,and a control group(n=30),who were given routine nursing measures.We compared differences between the two groups in terms of anxiety,depression,the level of hope,self-care ability,symptom distress,sleep quality,and quality of life.RESULTS Post-intervention,Hamilton anxiety scale,Hamilton depression scale,memory symptom assessment scale,and Pittsburgh sleep quality index scores in both groups were lower than those pre-intervention,and the observation group had lower scores than the control group(P<0.05).Herth hope index,self-care ability assessment scale-revision in Chinese,and quality of life measurement scale for patients with liver cancer scores in both groups were higher than those pre-intervention,with higher scores in the observation group compared with the control group(P<0.05).CONCLUSION Whole-process case management can effectively reduce anxiety and depression in patients with liver cancer,alleviate symptoms and problems,and improve the level of hope,self-care ability,sleep quality,and quality of life,as well as provide feasible nursing alternatives for patients with liver cancer.

Analysis of the Role of Cognitive Behavioral Therapy on Self-Care in Thyroid Cancer Patients

Objective:To explore the effect of cognitive behavioral therapy on self-care in thyroid cancer patients.Methods:A total of 144 thyroid cancer patients treated at the Affiliated Hospital of Hebei University from January 2022 to August 2023 were selected as research subjects.Using the random number table method,they were divided into a control group and an experimental group,each consisting of 72 cases.The control group received routine nursing intervention,while the experimental group received cognitive behavioral therapy based on standard nursing practices.The self-care ability(self-concept,self-efficacy,self-care skills,health knowledge level),coping style(confrontation,avoidance,and surrender),and quality of life(psychological function,social function,material life,physical function)of both groups before and after the intervention were compared.Results:In comparison to the pre-intervention period,the experimental group exhibited significantly higher self-care ability,quality of life,and confrontation scores after the intervention,as opposed to the control group.Additionally,the avoidance and surrender scores were lower in the experimental group than in the control group,with these differences proving to be statistically significant(P<0.01).Conclusion:The application of cognitive behavioral therapy can enhance the self-care ability of thyroid cancer patients,aid in better disease coping,and improve their overall quality of life.This approach is deserving of further promotion.

Dynamic interaction nursing intervention on functional rehabilitation and self-care ability of patients after aneurysm surgery

BACKGROUND Nursing practices based on the dynamic interaction model have been shown to be superior to generic nursing practices.However,whether this model is effective in patients recovering from intracranial aneurysm surgery is not well studied.AIM To investigate the effect of nursing based on a dynamic interaction model on functional rehabilitation of patients after aneurysm surgery.METHODS A total of 86 cases in our hospital with intracranial aneurysm from April 2019 to April 2021,were selected and divided into the study group and the control group,with 43 patients in each group.The control group received routine nursing,and the research group received nursing intervention based on a dynamic interaction model.The daily living ability(activities of daily living,ADL),cognitive function(Simple Intelligent Mental State Scale,MMSE),quality of life(Generic Quality of Life Inventory-74,GQOL-74),self-care ability(Exercise of Self-Care Agency scale),incidence of complications,and nursing satisfaction were recorded before and after intervention.RESULTS Before intervention,ADL(52.09±6.44),MMSE(18.03±4.11),and GQOL-74(53.68±4.34)scores in the study group were not significantly different from those in the control group(ADL:50.97±7.32,MMSE:17.59±3.82,GQOL-74:55.06±3.98)(P>0.05).After intervention,ADL(86.12±5.07),MMSE(26.64±2.66),and GQOL-74(83.13±5.67)scores in the study group were higher than those in the control group(ADL:79.81±6.35,MMSE:24.51±3.00,and GQOL-74:77.96±6.27)(P<0.05).Before intervention,self-concept(17.46±4.44),self-care skills(25.22±4.20),self-care knowledge(22.35±4.74),and self-care responsibility(15.06±3.29)scores in the study group was similar to those in the control group(self-concept:16.89±5.53,self-care skills:24.59±4.46,self-care knowledge:21.80±3.61,and self-care responsibility:14.83±3.11)(P>0.05).After the intervention,self-concept(26.01±3.18),self-care skills(37.68±6.05),self-care knowledge(45.56±5.83),and self-care responsibility(22.01±3.77)scores in the study group were higher than those in the control group(self-concept:22.97±3.46,self-care skills:33.02±5.65,selfcare skills knowledge:36.81±5.54,and self-care responsibility:17.97±3.56 points)(P<0.05).The incidence of complications in the study group(4.65%)was lower than that in the control group(18.60%)(P<0.05).Nursing satisfaction in the study group(95.35%)was higher than that in the control group(81.40%)(P<0.05).CONCLUSION Nursing intervention based on a dynamic interaction model can improve postoperative cognitive function,daily living ability,self-care ability,quality of life,and patient satisfaction,while reducing the risk of complications.

Effect of continuing nursing on self-care ability of diabetic patients:A meta-analysis

Objective:To evaluate the effect of continuing nursing on self-care ability of diabetic patients.Methods:Meta-analysis was used to search multiple Chinese and English databases,and relevant randomized controlled trials were collected.After reviewing the literature quality,RevMan 5.2 software was used for data analysis.Results:A total of 8 randomized controlled trials(RCTs)were included.The results showed that the self-care ability of the continuing care observation group was significantly higher than that of the control group [WMD = 17.88,95%CI(17.30,18.47),P<0.001].Conclusion:Continuing nursing shows superiority in improving self-care ability of diabetic patients.

The Impact of Risk-Based Cancer Care Planning on the Complications and Self-Care Ability of Cervical Cancer Patients Undergoing Radiotherapy

Objective:To explore the impact of the application and implementation of risk-based cancer care planning in patients with cervical cancer radiotherapy on the complications and self-care ability of patients.Method:This study recruited selected patients who came for cervical cancer radiotherapy in a tertiary hospital in Xianyang City,Shaanxi Province from November 2020 to November 2021.One hundred patients were recruited.Nursing management was carried out,and cancer care planning under the concept of conventional care and risk were applied.The effects of different nursing methods on patients were compared and analyzed.Results:The patients in the experimental group had higher scores of self-care ability and lower complication rate.All data were significantly different from those of the control group(P<0.05),and the nursing effect on the experimental group was better.Conclusion:The application and implementation of the risk-based cancer care planning in patients who received cervical cancer radiotherapy has significant clinical effects,which is beneficial to reduce the incidence of patients’adverse reactions and promote patient recovery.

The current status of foot self-care knowledge, behaviours, and analysis of influencing factors in patients with type 2 diabetes mellitus in China

Purpose:To investigate the knowledge and behaviours on foot self-care in patients with type 2 diabetes mellitus;analyse the influential factors,and provide information for the intervention study.Methods:A total of 5961 patients with type 2 diabetes mellitus from 144 hospitals in China were included in the study.The investigation content included patients'demographic data,foot self-care knowledge and behaviours.The investigation tools were the questionnaires on the general diabetes information,on the foot self-care knowledge,and on the foot selfcare behaviours.Results:The foot self-care knowledge was medium and the foot self-care behaviour was poor.The status of knowledge and behaviours were influenced by education,duration of diabetes mellitus,periodic inspection,and education about diabetic complications.Pearson analysis demonstrated that there was positive correlation between knowledge score and behaviour score(r?0.27,p<0.001).Conclusions:The status of foot self-care knowledge and behaviours are not optimistic.According to the patients'own characteristics,the theory of knowledge,attitude and practice applies to encouraging patients to go for periodic inspection and education about diabetic complications so as to enhance the knowledge and promote the self-care behaviours.

Effect of Foot Self-Care Behavior According to Severity of Diabetic Neuropathy in Japanese Patients with Diabetes

PURPOSE: Diabetic patients with severe diabetic neuropathy often have hypoesthesia and numbness. This study evaluated foot self-care behavior according to severity of diabetic neuropathy. METHODS: We used a hand-held nerve conduction test device DPN check (HDN-1000, Omron) to evaluate severity of diabetic neuropathy. Foot self-care was evaluated using the Japanese SDSCA (the Summary of Diabetes Self-Care Activities measure). Foot self-care comprised visual inspection, washing, wiping interdigital areas, and checking shoes, and was scored according to the number of days self-care which was performed in the previous week. RESULTS: The study evaluated 103 diabetic patients (age: 65.7 years, diabetes duration: 13.9 years, HbA1c: 7.3%). Total scores (out of 28 points) for self-care behavior according to neuropathy severity were 11.8 (Normal: n = 54), 10.6 (Mild: n = 27), 13.3 (Moderate: n = 17), and 10.8 (Severe: n = 5). Foot self-care scores were low in all groups, with particularly low scores in those with severe neuropathy. However, no statistically significant differences were observed. CONCLUSIONS: Foot self-care is essential in diabetes because lesions are more likely to occur in severe neuropathy. Living alone and the presence of recurrent foot lesions are associated with poor survival prognosis. Accordingly, foot-care intervention must take neuropathy severity and lifestyle factors into account. The severity of diabetic neuropathy must be determined and foot-care intervention should take lifestyle factors into account.

Exploring the Influences of Continuous Self-Management Education on the Self-Care Skills and Health Behavior of Patients with PICC Intubation

Objective:To analyze the effects of continuous self-management education on the selfcare ability and health behavior of patients with tumor through peripherally inserted central venous catheters(PICC).Methods:The period from August 2018 to August 2020 was used as the research time range,and the random number table method was used as the basis for grouping.80 patients with malignant tumors who regularly performed fixed catheter maintenance care in the PICC clinic of our hospital were admitted in the experimental group(given PICC specialist nursing,and implemented continuous self-management education),and 80 patients with PICC tube malignant tumors discharged from the superior hospital during this time range served as the control group(return to the original catheterization hospital from time to time or perform catheter maintenance care in the nursing clinic of our hospital).The self-care ability scores,health behavior scores,and complications during intubation between both groups were analyzed.Results:(1)There was no significant difference in self-care ability score and healthy behavior score between groups before the intervention,P>0.05;the self-care ability score and health behavior score of the research group were better than the control group after intervention,P<0.05;(2)After investigation,the incidence of complications in the research group(2.50%)was lower than that of the control group(10.00%),but there was no difference between the groups,P>0.05.Conclusion:Continuous self-management education has good effects on improving the self-care ability of tumor patients with PICC intubation.It can urge patients to maintain good health behaviors and reduce complications.It is worthy of promotion.

罗伊适应护理在糖尿病足患者护理中的应用效果分析

目的:分析罗伊(ROY)适应护理在糖尿病足患者护理中的应用效果。方法:选取2020年1月—2022年5月深圳市中医院收治的糖尿病足患者96例作为研究对象,根据随机数字表法分为两组,各48例。对照组实施常规护理,研究组实施ROY适应护理。比较两组护理效果。结果:研究组护理总有效率高于对照组,差异有统计学意义(P=0.036)。护理后,两组空腹血糖、餐后2 h血糖水平低于护理前,且研究组低于对照组,差异有统计学意义(P<0.05)。护理后,两组自我管理能力、生活质量评分高于护理前,且研究组高于对照组,差异有统计学意义(P<0.05)。结论:ROY适应护理在糖尿病足患者护理中的应用效果较好,可改善患者血糖水平,提升自我管理能力及生活质量。

足踝复合体本体感觉的测量与评价

背景:足踝本体感觉的研究对于慢性踝关节不稳、老年疾病的康复治疗以及身体姿势控制、运动表现的提高至关重要。前期的相关研究经常把足部和踝关节的感觉评价分开研究,对全面且综合地了解其感觉功能存在一定的局限。目的:足踝复合体是唯一与支撑面直接接触的部位,在收集体感反馈和调节平衡控制中起重要作用。文章通过汇总现有关于足部和踝关节本体感觉的调查研究,梳理足踝复合体感觉的测量与评价方法,以期为日后的相关研究做出铺垫并提供理论依据。方法:中文检索词为“(足OR足踝关节OR踝关节)AND(感觉OR本体感觉)”、英文检索词为“(foot OR ankle)AND(feel OR proprioception)”,在Web of Science、PubMed和中国知网数据库检索相关文献,了解关于足踝基本概念、研究现状与范畴,总结并评价足踝的本体感觉评价方法,最终纳入57篇文献进行综述分析。结果与结论:①足踝复合体感觉的评价主要分为对足部的感觉评价和踝关节的本体感觉评价。②足部的感觉评价主要描述其皮肤的感觉以及干预条件下的感觉反馈,方法主要包括:压力感觉阈值测试、足(底侧和跖侧)两点辨别能力测试、皮肤振动感觉持续时间测试。③踝关节本体感觉评价着重描述关节位置、运动范围、力值及功能表现,方法主要分为静态的关节角度重置测试、运动最小阈值测试、力觉重现测试以及动静态的平衡、速度及行走能力的测试。④对量化结果的报道一般以“误差”来表示,根据报道的需要一般分为:绝对误差、相对误差和恒定误差等。⑤结果证实,足踝复合体具备特殊的感觉能力,包括足部感觉和踝关节的本体感觉,影响人类的生活质量以及运动表现;足部感觉与踝关节本体感觉的弱化均与人体平衡能力下降相关,二者联合测量可以全面有效地评价足踝功能;根据不同的研究需求,需要选择足部与踝关节的感觉测量方法的组合形式,并充分考虑环境、情绪以及报道方式等多种影响因素,提高测量与评价的有效性。

非手术治疗慢性踝关节不稳者足踝功能和动态平衡能力的网状Meta分析

目的:尽管多种非手术疗法改善慢性踝关节不稳患者足踝功能和动态平衡能力的效果已得到证实,但由于治疗方法的不断更新,目前最佳的慢性踝关节不稳非手术疗法尚不明确。文章通过网状Meta分析的方法,探讨不同非手术疗法对慢性踝关节不稳患者足踝功能和动态平衡能力的疗效,以期寻找最佳治疗措施。方法:以“CAI,Exercise,Randomized controlled trial”等为检索词,通过计算机网络对PubMed,Embase,Cochrane图书馆和Web of Science数据库进行文献检索,收集各数据库建库至2024年3月关于非手术疗法治疗慢性踝关节不稳患者足踝功能或动态平衡能力的随机对照试验。运用EndNote软件进行文献管理,采用RevMan 5.4软件和Cochrane风险偏倚评估工具对纳入文献进行风险偏倚评价。使用Stata 14.0软件的network命令对足踝能力评估日常活动子量评分、足踝能力评估体育活动子量表评分、前侧星形偏移平衡测试评分、后内侧星形偏移平衡测试评分、后外侧星形偏移平衡测试评分和坎伯兰踝关节不稳问卷评分结局指标进行传统Meta分析和网状Meta分析。根据GRADE证据等级及推荐强度分级标准对结局指标进行证据强度等级评价。结果:在符合纳入标准的22项随机对照试验中,1项研究被评为低风险,8项研究被评为中风险,13项研究被评为高度风险,共计纳入952例患者,25种治疗措施。①网状Meta分析结果显示,与对照组相比,等速力量训练、平衡训练、平衡+频闪眼镜训练、力量训练、关节活动度训练、CrossFit训练、CrossFit+自我动员训练、震动板训练、美国国家运动医学学会矫正锻炼计划、触发点干针法和神经肌肉训练在改善慢性踝关节不稳患者足踝功能和动态平衡能力方面具有不同程度的显著提升效果(P<0.05)。②累积概率排序结果显示,坎伯兰踝关节不稳问卷评分排名最靠前的3种治疗措施为:关节活动度训练(88.6%)>视觉反馈平衡训练(83.1%)>CrossFit+自我动员训练(74.8%);前侧星形偏移平衡测试评分排名最靠前的3种治疗措施为:关节活动度训练(88.4%)>等速力量训练(86.9%)>美国国家运动医学学会矫正锻炼(65.0%);后内侧星形偏移平衡测试评分排名最靠前的3种治疗措施为:平衡+频闪眼镜训练(87.4%)>神经肌肉训练(74.6%)>力量训练(68.9%);后外侧星形偏移平衡测试评分排名最靠前的3种治疗措施为:CrossFit+自我动员训练(74.6%)>平衡+频闪眼镜训练(70.0%)>神经肌肉训练(63.7%);足踝能力评估日常活动子量评分排名最靠前的3种治疗措施为:美国国家运动医学学会矫正锻炼(91.9%)>平衡+频闪眼镜训练(85.6%)>震动板训练(82.2%);足踝能力评估体育活动子量表评分排名最靠前的3种治疗措施为:平衡+频闪眼镜训练(93.5%)>平衡训练(86.7%)>美国国家运动医学学会矫正锻炼(86.4%)。结论:非手术疗法可以显著改善慢性踝关节不稳患者的足踝功能和动态平衡能力,美国国家运动医学学会矫正锻炼计划在改善慢性踝关节不稳患者足踝日常活动功能方面疗效最佳;平衡+频闪眼镜训练在改善足踝体育运动功能和后内侧动态平衡能力方面疗效最佳;关节活动度训练改善前侧动态平衡能力和踝关节不稳病情方面疗效最佳;CrossFit+自我动员训练改善后外侧动态平衡能力方面疗效最佳。受纳入研究方法学偏倚和发表偏倚风险影响,各项结局指标证据强度均为低强度。因此,未来尚需更多高质量试验研究验证此结论。

针灸联合肌电生物反馈对脑卒中足下垂患者身体平衡功能、步行能力及日常生活活动能力的影响

目的:探讨针灸联合肌电生物反馈对脑卒中足下垂患者身体平衡功能、步行能力及日常生活活动能力的影响。方法:回顾性选取2022年1月到2023年7月合肥市第一人民医院神经内科和康复科收治的100例脑卒中足下垂患者作为研究对象,按照治疗方法分为肌电生物反馈组(47例)和联合组(53例,针灸联合肌电生物反馈),比较两组痉挛程度[采用临床痉挛指数(CSI)评估]、身体平衡功能[采用Berg平衡量表(BBS)评估]、踝关节活动度(ROM)[主动背伸度、主动跖屈度、主动内翻度]、血液流变学指标[血浆粘度(PV)、血小板聚集率(PAR)、红细胞比容(Hct)]、步行能力[步频、步幅、患侧摆动相、患侧支持相]和日常生活活动能力[采用改良Barthel指数(MBI)评估]。结果:治疗后,联合组CSI评分低于肌电生物反馈组,BBS评分高于肌电生物反馈组(P<0.05);治疗后,联合组主动背伸度高于肌电生物反馈组,主动跖屈度、主动内翻度低于肌电生物反馈组(P<0.05);治疗后,联合组PV、PAR、Hct水平低于肌电生物反馈组(P<0.05);治疗后,联合组步频、步幅、患侧摆动相、患侧支持相水平高于肌电生物反馈组(P<0.05);治疗后,联合组MBI评分高于肌电生物反馈组(P<0.05)。结论:针灸联合肌电生物反馈治疗脑卒中足下垂患者的效果显著,可有效改善痉挛程度、身体平衡功能、踝关节ROM以及血流循环,提高步行能力以及日常生活能力。.

糖尿病足个案管理护理工作构建与实践效果评价

目的:探讨糖尿病足(DF)个案管理护理工作构建与实践效果。方法:回顾性分析2020年5月—2023年1月我院收治的96例DF患者临床资料,根据不同护理方式分为2组,各48例。对照组常规护理,观察组个案管理模式。对比两组创面愈合时间、血糖水平、自我管理能力及并发症发生率。结果:观察组创面愈合时间短于对照组;护理后空腹血糖(FBG)、餐后2h血糖、糖化血红蛋白(HbAIC),低于对照组;2型糖尿病自我管理行为量表(2-CDSG)中的饮食控制评分、血糖监测评分、足部护理评分、遵医嘱用药评分、规律运动评分、高低血糖处理评分,高于对照组;并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论:DF个案管理护理工作构建与实践效果显著,可以提高患者血糖控制效果与自我管理能力,减少并发症的发生。

家属共同参与模式对多发性跖骨骨折患者康复效果的影响

目的评估基于家属共同参与模式对多发性跖骨骨折患者康复效果的影响。方法选择2021年10月至2022年10月常熟市第二人民医院收治的多发性跖骨骨折患者100例,采用随机数字表法分为两组,各50例。对照组患者接受常规干预,而观察组患者接受基于家庭共同参与模式的康复干预。对比两组患者康复情况、足部功能恢复效果、干预前后疼痛程度、自我护理能力变化。结果观察组患者术后愈合、行走和住院时间分别为(44.01±4.27)、(63.39±5.28)、(29.96±4.03)d,均短于对照组(P<0.05);观察组患者足部功能恢复率极佳,足部功能恢复优良率为90%(45/50),高于对照组的74%(37/50)(P<0.05);干预后,观察组患者的疼痛程度比对照组少,其中无痛28%(14/50)、轻微疼痛42%(21/50)、中度疼痛28%(14/50),重度疼痛2%(1/50),优于对照组(P<0.05);研究组患者干预后自我护理能力总分为(138.01±9.95)分,高于对照组的(112.83±10.03)分(P<0.05)。结论基于家属共同参与模式的干预应用于多发性跖骨骨折患者可提高自我护理能力,减轻疼痛程度,促进早日康复。同时将家属纳入患者康复计划可能为一个有效方法,值得进一步推广应用。

The Effect of O2O Education Combined with Peer Education Management Model in Patients with Chronic Obstructive Pulmonary Disease

Objective:To explore the effect of online-to-offline(O2O)education combined with the peer education management model in patients with chronic obstructive pulmonary disease(COPD).Methods:Using convenience sampling,72 patients with COPD who were hospitalized in the respiratory medicine department of a tertiary-level hospital from March to December 2021 were selected as study subjects.Randomized grouping was carried out using the random number table method,the control group was given routine COPD health education in the department,and the intervention group applied O2O trinity health management combined with peer education on the basis of routine care.After 6 months of follow-up after discharge,the two groups were observed and compared for changes in pulmonary function,depression status,self-care ability,and quality of life.Results:At 3 and 6 months after the intervention,the lung function indexes and depression status of the two groups of patients improved significantly,and the improvement effect was more significant in the intervention group(P<0.05);after the intervention,the self-care ability scores of the patients in the intervention group were significantly higher than those of the control group(P<0.05);the quality-of-life scores of the two groups of patients decreased at 3 months after discharge,in which the quality-of-life scores in the intervention group was significantly lower than that of the control group(P<0.05).Conclusion:O2O education combined with the peer education management model can effectively improve the lung function of patients with COPD,depression,self-care ability,and quality of life.

延续性护理预防糖尿病足合并感染的效果评估

目的探究糖尿病足患者实施延续性护理对预防感染的影响作用。方法选取2022年5月—2023年5月沂河新区相公中心医院收治的90例糖尿病足患者为研究对象。按不同的护理方法分为对照组与观察组,各45例,对照组采取常规护理,观察组采取延续性护理。比较两组血糖指标(空腹血糖、餐后2 h血糖)、自我管理效能、运动、血糖监测、足部护理)、糖尿病足合并感染发生率。结果护理后,观察组空腹血糖、餐后2 h血糖均低于对照组,差异有统计学意义(P均<0.05)。观察组护理后饮食、运动、血糖监测、足部自我管理能力评分均高于对照组,差异有统计学意义(P均<0.05)。观察组糖尿病足合并感染发生率为4.44%,明显低于对照组的17.78%,差异有统计学意义(χ^(2)=4.505,P<0.05)。结论对糖尿病足患者采取延续性护理有利于更好的控制血糖指标,提高患者自我管理能力,降低感染发生率。

基于“互联网+”的糖尿病足患者健康管理模式与效果评价

目的探析对糖尿病足患者实行基于“互联网+”的健康管理模式的应用效果。方法纳入2020年1月至2020年12月在本院内分泌科住院进行治疗的90例2型糖尿病足患者为研究对象,应用双色球平均法平分两组,各45例。对照组进行院内常规电话随访,观察组在其基础上配合“互联网+”健康管理模式,运用Bates-Jensen评估伤口愈合评分、对比血糖、血脂水平、医学应对方式问卷(MCMQ)评估患者应对方式情况、用自护能力测定量表(ESCA)和生活质量综合评定问卷(GQOLI-74)评估患者的自护能力和生活质量评分。结果在出院时,观察组的伤口大小、伤口形状、伤口颜色、分泌物、疼痛等评分均低于对照组(均P<0.05);FBG、2 hPBG、HbAlc等均降低,且观察组比对照组FBG、2 hPBG、HbAlc指标更低(P<0.05);两组的TG、TC、LDL-C水平均降低,HDL-C升高,且观察组比对照组的TG、TC、LDL-C低,HDL-C高(P<0.05);两组的主动寻求信息、消极否认、积极应对评分均升高且观察组高于对照组(P<0.05),而两组消极应对评分降低且观察组低于对照组(P<0.05);在自护责任、自护技能、自我概念和健康知识等方面均升高且观察组较对照组评分高(P<0.05);于生理功能、社会功能、情感职能和精神状态等方面,观察组较对照组评分更高(P<0.05)。结论针对糖尿病足患者实行基于“互联网+”的健康管理模式更具优势,其可促进伤口愈合速度,改善血糖和血脂水平,提升医学应对效果,并使患者的自我护理能力和生活质量水平提高。