首页|步态矫正训练对老年糖尿病危险足患者足底压力的影响

步态矫正训练对老年糖尿病危险足患者足底压力的影响

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目的 探讨步态矫正训练对老年糖尿病危险足患者足底压力的影响。方法 选取2022年9-10月在上海市2家社区卫生服务中心就诊的老年糖尿病危险足患者88例,采用抽签法将1家社区卫生服务中心的43例患者作为对照组,另1家社区卫生服务中心的45例患者作为观察组,干预过程中,观察组失访2例,对照组失访1例,最终纳入分析的患者共85例,其中对照组42例,观察组43例。对照组接受社区糖尿病健康教育及社区常规运动,观察组在对照组的基础上进行步态矫正训练,均进行为期3个月的干预。比较2组患者干预前后左、右足足底压力相关指标(峰值压力、冲量和最大力)。结果 干预3个月后,观察组左、右足的峰值压力、冲量及最大力均低于对照组,差异有统计学意义(P<0。05)。结论 步态矫正训练可降低老年糖尿病危险足患者左、右足的峰值压力、冲量及最大力等足底压力相关指标,改善下肢功能,预防及减少足溃疡的发生风险。
Effect of gait correction training on plantar pressure in elderly patients with diabetic at-risk foot
Objective To explore the intervention effect of gait correction training on plantar pressure in elderly patients with diabetic at-risk foot.Methods A total of 88 elderly patients with diabetic at-risk foot who visited 2 social health service centers in Shanghai from September to October 2022 were selected as the study subjects.Using a lot-tery method,43 patients from one community health service center were selected as the control group,while 45 pa-tients from the other community health service center were selected as the observation group.During the interven-tion,2 cases were lost to follow-up in the observation group and 1 case was lost to follow-up in the control group.A total of 85 patients were finally included in the analysis,including 42 cases in the control group and 43 cases in the observation group.The control group received community diabetes health education and community routine exercise,and the observation group received gait correction training on the basis of the control group,all of which were inter-vened for 3 months.The pressure related indexes(peak pressure,impulse,and max force)of left and right plantar pressure were compared between 2 groups of patients before and after intervention.Results After 3 months of inter-vention,the peak pressure,impulse,and max force of the left and right feet in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion Gait correc-tion training can reduce plantar pressure related indicators,such as peak pressure,impulse and maximum force of left and right feet,improve lower limb function,and prevent and reduce the risk of foot ulcers in elderly patients with diabetic at-risk foot.

geriatric diabetes mellitusat-risk footgait correction trainingplantar pressurefoot ulcernursing

石磊、白姣姣、王峥、潘毓健、万艳、王一如、郭忠莹

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复旦大学附属华东医院护理部,上海 200040

老年糖尿病 危险足 步态矫正训练 足底压力 足溃疡 护理

复旦大学-复星护理科研基金立项重点项目复旦大学附属华东医院临床科研项目上海现代护理职业教育集团特聘兼职教师资助计划

FNF202101HDLC2022008hlzjtpgr202302

2024

护士进修杂志
贵州省医药卫生学会办公室

护士进修杂志

CSTPCD
影响因子:2.59
ISSN:1002-6975
年,卷(期):2024.39(8)
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