摘要
目的探讨在糖尿病足部溃疡患者中应用奥瑞姆自我护理模式,观察其对患者的康复、感染率和生活质量的影响。方法选取2021年9月—2022年5月于莆田学院附属医院内分泌科治疗的糖尿病足部溃疡患者46例作为研究对象。按照随机数字表法分为奥瑞姆自我护理组与对照组,各23例。对照组接受常规自我护理宣教,奥瑞姆自我护理组接受奥瑞姆自我护理模式宣教。比较2组干预前后血糖相关指标、足部溃疡创面愈合时间及细菌培养阳性率和生活质量评分。结果与对照组比较,奥瑞姆自我护理组显著改善患者的空腹血糖、餐后2 h血糖以及糖化血红蛋白水平(P<0.05)。奥瑞姆自我护理组的足部溃疡创面愈合时间为(32.74±5.24)d,与对照组的(40.36±3.67)d比较,明显缩短,创面细菌阳性率显著下降(P<0.05)。同时,与对照组比较,奥瑞姆自我护理组的患者生活质量显著提高(P<0.05)。结论奥瑞姆自我护理模式在糖尿病足部溃疡患者护理中展现出显著的积极影响,包括改善血糖控制、缩短愈合时间、降低感染风险以及提高生活质量。这一模式为改善糖尿病足部溃疡患者的护理提供了有力的工具,有望减轻患者的痛苦、降低医疗成本,提高患者的整体康复和生活质量。
Objective To explore the application of Orem's selfcare model in patients with diabetic foot ulcers and observe its impact on patients'recovery,infection rates and quality of life.Methods A total of 46 patients with diabetic foot ulcers treated in the department of endocrinology,the Affiliated Hospital of Putian University between September 2021 and May 2022 were selected for this study.Among them,divided into Orem self-care group and control group according to the random number table method,with 23 cases in each group.The control group received routine selfcare education,while the Orem's self-care group received Orem's self-care model education.Blood glucose-related indicators,foot ulcer healing time,bacteria culture positivity,and quality of life scores were compared between the two groups before and after the intervention.Results Compared with the control group,the Orem self-care group significantly improved the fasting blood glucose,2-hour postprandial blood glucose,and glycated hemoglobin levels of patients(P<0.05).The healing time of foot ulcer wounds in the Orem self-care group was(32.74±5.24)days,which was significantly shorter than that in the control group(40.36±3.67)days,and the positive rate of wound bacteria was significantly reduced(P<0.05).Meanwhile,compared with the control group,the quality of life of patients in the Orem self-care group was significantly improved(P<0.05).Conclusion Orem's self-care model demonstrates a significant positive impact on the care of patients with diabetic foot ulcers,including improved blood glucose control,shortened healing time,reduced infection risk,and enhanced quality of life.This model provides a powerful tool for improving the care of diabetic foot ulcer patients,with the potential to alleviate their suffering,reduce healthcare costs,and enhance their overall recovery and quality of life.
作者
林梅英
卢丽贞
庄耀宁
李雅琦
许玲贞
LIN Meiying;LU Lizhen;ZHUANG Yaoning;LI Yaqi;XU Lingzhen(Department of Hematology and Endocrinology,the Affiliated Hospital of Putian University,Putian Fujian 351100,China;Intensive Care Unit,Department of Respiratory and Critical Care Medicine,the Affiliated Hospital of Putian University,Putian Fujian 351100,China)
出处
《中国卫生标准管理》
2024年第7期180-184,共5页
China Health Standard Management
基金
福建省中青年教师教育科研项目(JAT210402)。
