首页|糖尿病足个案管理护理工作构建与实践效果评价

糖尿病足个案管理护理工作构建与实践效果评价

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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.
Construction and Practice Effect Evaluation of Diabetic Foot Case Management Nursing Work
Objective:To explore the construction and practice effect of diabetic foot(DF)case management nursing work.Methods:The clinical data of 96 patients with DF treated in our hospital from May 2020 to January 2023 were retrospectively analyzed,and they were divided into two groups according to different nursing methods,48 cases in each group.The control group received routine nursing,and the observation group received case management mode.The wound healing time,blood glucose level,self-management ability and complication rate of the two groups were compared.Results:The wound healing time of the observation group was shorter than that of the control group;The fasting blood glucose(FBG),2h postprandial blood glucose and glycated hemoglobin(HBAIC)in the nursing group were lower than those in the control group;The diet control score,blood glucose m onitoring score,foot care score,medication compliance score,regular exercise score,high and low blood glucose treatment score in the 2-cdsg were higher than those in the control group;The incidence of complications was lower than that of the control group,and the difference was statistically significant(P<0.05).Conclusion:the construction and practice effect of DF case management nursing work is significant,which can improve the blood glucose control effect and self-management ability of patients,and reduce the occurrence of complications.

Diabetic footCase managementNursing studioWound healing timeBlood glucose levelsSelf management abili-ty

熊莉莉、章雅婷

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南昌大学第四附属医院内分泌科(江西南昌 330003)

南昌大学第四附属医院干部保健门诊(江西南昌 330003)

糖尿病足 个案管理 护理工作室 创面愈合时间 血糖水平 自我管理能力

江西省卫生健康委科技计划项目

202210687

2024

黑龙江医药
黑龙江省药品审评认证中心

黑龙江医药

影响因子:0.597
ISSN:1006-2882
年,卷(期):2024.37(2)
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