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延续性护理预防糖尿病足合并感染的效果评估

Evaluation of the Effect of Continuous Nursing in Preventing Diabetic Foot Infection
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摘要 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。 Objective To explore the effect of continuous nursing on the prevention of infection in patients with dia-betic foot.Methods A total of 90 patients with diabetic foot admitted to Xianggong Central Hospital of Yihe New Dis-trict from May 2022 to May 2023 were selected as the research objects.They were divided into control group and ob-servation group by different nursing methods,45 cases in each group.The control group was given routine nursing,while the observation group was given continuous nursing.The blood glucose indexes(fasting blood glucose,2-hour postprandial blood glucose),self-management efficacy,exercise,blood glucose monitoring,foot care)and the inci-dence of diabetic foot infection were compared between the two groups.Results After nursing,the fasting plasma glu-cose and 2-hour postprandial plasma glucose in the observation group were lower than those in the control group,and the differences were statistically significant(both P<0.05).After nursing,the scores of diet,exercise,blood glucose monitoring and foot self-management ability in the observation group were higher than those in the control group,and the differences were statistically significant(all P<0.05).The incidence of diabetic foot complicated with infection in the observation group was 4.44%,which was significantly lower than 17.78%in the control group,and the difference was statistically significant(χ^(2)=4.505,P<0.05).Conclusion Continuous nursing for patients with diabetic foot is con-ducive to better control of blood glucose indicators,improve patients'self-management ability,and reduce the inci-dence of infection.
作者 高仁凤 GAO Renfeng(Department of Surgery,Xianggong Central Hospital,Yihe New District,Linyi 276000,Shandong,China)
出处 《糖尿病新世界》 2024年第10期125-127,131,共4页 Diabetes New World
关键词 糖尿病足 延续性护理 自我管理能力 Diabetic foot Continuing care Self-management ability
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