Application effect of medical conjunctive hierarchical diagnosis and treatment in hospital-community management for diabetic foot patients
Objective To explore the application effect of medical conjunctive hierarchical diagnosis and treatment in the hospital-community management for diabetic foot patients.Methods A total of 100 diabetic foot patients from Xinxiang Central Hospital from January 2020 to January 2023 were selected as the study objects for the prospective study,and were divided into a control group and an observation group according to the random number table method,with 50 cases in each group.In the control group,34 males and 16 females,aged 55-74(64.05±3.41)years,were given routine nursing.In the observation group,33 males and 17 females,aged 54-73(64.01±3.06)years,were given medical conjunctive hierarchical diagnosis and treatment nursing model.The Wagner grade,diabetic foot risk factors,and Diabetic Foot Self-Care Questionnaire of the University of Malaga(DFSQ-UMA)score were compared between the two groups.Statistical methods used were t test and x2 test.Results After intervention,the proportion of Wagner grade 0,1,and 2 in the observation group was higher than that in the control group[96％(48/50)vs.86.00％(43/50)],but the proportion of Wagner grade 3,4,and 5 was lower than that in the control group[4.00％(2/50)vs.14.00％(7/50)],with a statistically significant difference(x2=5.13,P＜0.05).The scores of diabetic foot risk factor scale in both groups after intervention were higher than those before intervention,and that in the control group was higher than that in the observation group[(38.52±6.17)points vs.(35.41±5.23)points],with a statistically significant difference(t=2.28,P＜0.05).After intervention,the scores of personal care,foot care,and wearing shoes and socks of the DFAQ-UMA in both groups were higher than those before intervention,and those in the observation group were higher than those in the control group[(4.65±1.03)points vs.(3.82±1.09)points,(3.09±0.85)points vs.(2.56±0.90)points,(1.65±0.61)points vs.(1.29±0.64)points],with statistically significant differences(t=3.91,3.03,and 2.88,all P＜0.05).Conclusion The use of medical conjunctive hierarchical diagnosis and treatment management for diabetic foot patients can reduce the high risk factors and enhance their level of prognostic self-care,which is worthy of promotion and reference in every clinic.
Diabetic footHierarchical diagnosis and treatmentMedical allianceHospital-community managementApplication effect
万方数据
维普
