首页|问题解决模式下护理对糖尿病足感染患者心理韧性和创面愈合的影响

问题解决模式下护理对糖尿病足感染患者心理韧性和创面愈合的影响

Effect of Nursing in Problem-solving Mode on Psychological Resilience and Wound Healing in Patients with Diabetic Foot Infection

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目的 分析问题解决模式下护理对糖尿病足感染患者心理韧性和创面愈合的影响.方法 选取2021年1月—2023年8月山东省日照市中心医院疝血管创面外科收治的108例糖尿病足感染患者为研究对象.以不同护理方法分为对照组与观察组,各54例.对照组采用常规护理,观察组采用问题解决模式.比较两组心理韧性(内控性、有势力的他人控制、机遇)、血糖指标(空腹血糖、餐后2 h血糖)、创面愈合时间、生活质量(生理功能、心理/精神、社会关系、治疗难度).结果 干预后,观察组心理韧性评分高于对照组,差异有统计学意义(P<0.05);观察组血糖指标、创面愈合时间均低于对照组,差异有统计学意义(P均<0.05);观察组生活质量评分均低于对照组,差异有统计学意义(P均<0.05).结论 问题解决模式应用于糖尿病足感染患者,可改善患者心理韧性程度,提高生活质量.
Objective To analyze the effect of nursing on psychological toughness and wound healing in patients with diabetic foot infection.Methods A total of 108 patients were admitted to the surgery department of Shandong Rizhao Central Hospital from January 2021 to August 2023 were selected as the study objects.According to different nursing methods,they were divided into control group and observation group,54 cases in each group.The control group was treated with routine nursing,and the observation group was treated with problem-solving mode.The psychological re-silience(internal control,powerful others control,opportunity),blood glucose index(fasting blood glucose,2 h post-prandial blood glucose),wound healing time,quality of life(physiological function,psychology/spirit,social relation-ship,treatment difficulty)were compared between the two groups.Results After intervention,the psychological resil-ience score of the observation group was higher than that of the control group,and the difference was statistically sig-nificant(P<0.05).The blood glucose index and wound healing time in the observation group were lower than those in the control group,and the differences were statistically significant(all P<0.05).The quality of life score of the observa-tion group was lower than that of the control group,and the difference were statistically significant(all P<0.05).Conclusion The problem solving mode applied to patients with diabetic foot infection can improve psychological toughness,promote wound healing,reduce inflammatory factors,improve quality of life.

Problem solving modeDiabetic footInfectionPsychological resilienceQuality of life

尹慧敏、于衍妮、卢世英

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日照市中心医院,山东 日照 276800

问题解决模式 糖尿病足 感染 心理韧性 生活质量

2024

糖尿病新世界
中国病理生理学会

糖尿病新世界

影响因子:0.461
ISSN:1672-4062
年,卷(期):2024.27(10)