首页|罗伊适应模式联合康复锻炼护理对糖尿病足截肢患者的影响

罗伊适应模式联合康复锻炼护理对糖尿病足截肢患者的影响

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目的:探讨罗伊适应模式联合康复锻炼护理对糖尿病足截肢患者的影响。方法:选取该院 2020年 1月—2023年1月收治的87例糖尿病足截肢患者为研究对象,按随机数字表法将其分为对照组(n=40)与观察组(n=47)。所有患者均采用大腿截断术治疗,对照组术后采用常规护理,观察组在对照组基础上采用罗伊适应模式联合康复锻炼护理。对比 2组预后相关指标、希望水平、并发症发生情况、生活质量。结果:2组死亡率对比,差异无统计学意义(P>0。05)。观察组住院时间、切口愈合时间及首次下床活动时间均短于对照组,组间差异有统计学意义(P<0。05)。护理后,2组希望水平的各个维度评分均较护理前升高,且观察组高于对照组,差异有统计学意义(P<0。05)。观察组并发症总发生率低于对照组,差异有统计学意义(P<0。05)。护理后,2组生活质量的各个维度评分均较护理前升高,且观察组高于对照组,差异有统计学意义(P<0。05)。结论:罗伊适应模式联合康复锻炼护理对糖尿病足截肢患者术后应用效果显著,可促进患者早日康复,提升其希望水平,降低术后并发症发生率,改善患者生活质量。
Effect of Roy Adaptation Mode Combined with Rehabilitation Exercise Nursing on Postoperative Diabetic Foot Amputation Patients
Objective:To explore the effect of Roy adaptation model combined with rehabilitation exercise nursing on diabetic foot amputation patients.Methods:87 patients with diabetic foot amputation admitted to the hospital from January 2020 to January 2023 were selected as the study objects,and were divided into a control group(n=40)and an observation group(n=47)according to random number table method.All patients were treated with thigh amputation,the control group was treated with routine nursing after surgery,and the observation group was treated with Roy adaptation mode combined with rehabilitation exercise nursing on the basis of the control group.Prognostic indicators,hope level,complication occurrence and quality of life were compared between the two groups.Results:There was no significant difference in mortality between the two groups(P>0.05).The length of hospital stay,incision healing time and first time of getting out of bed in observation group were shorter than those in control group,and the differences were statistically significant(P<0.05).After nursing,the scores of all dimensions of hope level in 2 groups were higher than those before nurisng,and the observation group was higher than the control group,the differences were statistically significant(P<0.05).The incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).After nursing,the scores of all dimensions of quality of life in 2 groups were higher than those before nurisng,and the observation group was higher than the control group,the differences were statistically significant(P<0.05).Conclusion:Roy adaptation mode combined with rehabilitation exercise nursing has a remarkable effect on postoperative application of diabetic foot amputation patients,which can promote the early recovery of patients,enhance their hope level,reduce the incidence of postoperative complications,and improve the quality of life of patients.

Diabetic footThigh amputationRoy adaptation modelRehabilitation exercise nursing

雷恒、张京影

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天津医科大学朱宪彝纪念医院重症医学科,天津 300400

天津医科大学朱宪彝纪念医院糖尿病足病科

糖尿病足 大腿截断术 罗伊适应模式 康复锻炼护理

2024

中国伤残医学
中国康复医学会,黑龙江省截瘫研究所

中国伤残医学

影响因子:0.451
ISSN:1673-6567
年,卷(期):2024.32(8)
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