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多学科协作护理干预对下肢骨折合并糖尿病患者的应用分析

Application of Multidisciplinary Collaborative Nursing Intervention in Pa-tients with Lower Limb Fracture and Diabetes Mellitus

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目的 探讨对下肢骨折伴有糖尿病患者给予多学科协作护理干预后对其康复效果以及血糖水平的影响.方法 选取2020年3月—2022年5月费县人民医院收治的52例下肢骨折合并糖尿病患者为研究对象,按护理方法不同分为两组,各26例.参照组采用常规传统护理,研究组采用多学科协作护理;比较两组Fugl-Meyer运动量表下肢功能评分(Fugl-Meyer Assessment Scale,FMA-L)、血糖水平(空腹血糖、餐后2 h血糖以及糖化血红蛋白)、并发症(关节僵硬、下肢深静脉血栓、压力性损伤以及肌肉粘连)发生情况.结果 护理后,与参照组FMA-L评分对比,研究组评分更高,差异有统计学意义(P<0.05).护理后,研究组空腹血糖、餐后2 h血糖以及糖化血红蛋白水平均低于参照组,差异有统计学意义(P均<0.05).研究组并发症总发生率低于参照组,差异有统计学意义(P<0.05).结论 临床对下肢骨折合并糖尿病患者给予多学科协作护理干预后,患者下肢功能改善、血糖水平降低、并发症减少,临床效果更佳.
Objective To explore the effect of multidisciplinary collaborative nursing intervention on the rehabilitation effect and blood glucose level of patients with lower limb fracture and diabetes.Methods A total of 52 patients with lower limb fracture and diabetes mellitus admitted to Feixian People's Hospital from March 2020 to May 2022 were se-lected as the research objects.They were divided into two groups by different nursing methods,with 26 cases in each group.The reference group was treated with routine traditional nursing,and the study group was treated with multidisci-plinary collaborative nursing.The Fugl-Meyer Assessment Scale(FMA-L),blood glucose level(fasting plasma glucose,2-hour postprandial plasma glucose and glycated hemoglobin A1c)and the incidence of complications(joint stiffness,deep venous thrombosis of lower limbs,pressure injury and muscle adhesion)were compared between the two groups.Results After nursing,compared with the FMA-L of the reference group,the score of the study group was higher,and the difference was statistically significant(P<0.05).After nursing,the levels of fasting plasma glucose,2-hour postprandial plasma glucose and glycated hemoglobin A1c in the study group were lower than those in the reference group,and the dif-ferences were statistically significant(all P<0.05).The total incidence of complications in the study group was lower than that in the reference group,and the difference was statistically significant(P<0.05).Conclusion After clinical multidisci-plinary collaborative nursing intervention for patients with lower limb fracture and diabetes,the lower limb function of pa-tients is improved,the blood glucose level and the complications are reduced,and the clinical effect is better.

Multidisciplinary collaborative nursing interventionLower limb fractureDiabetes mellitusRehabilita-tion effect

张学芳、颜世英

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费县人民医院骨外科,山东 临沂 276000

费县人民医院针灸推拿科,山东 临沂 276000

多学科协作护理干预 下肢骨折 糖尿病 康复效果

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)