首页|无缝隙全程护理对糖尿病足手术患者血糖指标、并发症、生命质量的干预价值

无缝隙全程护理对糖尿病足手术患者血糖指标、并发症、生命质量的干预价值

Intervention Value of Seamless Whole Course Nursing Intervention on Blood Glucose Index,Complications and Quality of Life in Patients with Diabetic Foot Surgery

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目的 探析无缝隙全程护理干预对糖尿病足手术治疗患者的临床效果.方法 选取2021年1月—2023年12月盘州市人民医院骨科收治的需行骨搬移术治疗的100例糖尿病足患者为研究对象,按照护理措施的不同分为两组,各50例.对照组给予常规护理干预,观察组给予无缝隙全程护理干预.比较两组血糖指标、并发症发生情况及生活质量评分.结果 护理前,两组血糖指标比较,差异均无统计学意义(P均>0.05);护理后,观察组空腹血糖、餐后 2 h血糖、糖化血红蛋白水平均低于对照组,差异均有统计学意义(P均<0.05).观察组术后并发症发生率低于对照组,差异有统计学意义(P<0.05).护理前,两组生活质量评分比较,差异均无统计学意义(P均>0.05);护理后,观察组躯体功能、心理功能、社会功能评分均高于对照组,差异均有统计学意义(P均<0.05).结论 在围手术期为糖尿病足手术患者提供无缝隙全程护理干预,有助于稳定患者血糖水平,保障手术整体安全性,提高患者生活质量.
Objective To explore the clinical effect of seamless whole course nursing intervention for patients with dia-betic foot surgery.Methods From January 2021 to December 2023,100 patients with diabetic foot who needed bone transport in the Department of Orthopaedics of Panzhou People's Hospital were selected as the research objects.Ac-cording to the different nursing measures,they were divided into two groups,50 cases in each group.The control group was given routine nursing intervention,and the observation group was given seamless whole course nursing in-tervention.The blood glucose indexes,complications and quality of life scores were compared between the two groups.Results Before nursing,there were no significant differences in blood glucose indexes between the two groups(all P>0.05).After nursing,the levels of fasting blood glucose,2-hour postprandial blood glucose and glycated hemoglobin A1c in the observation group were lower than those in the control group,and the differences were statistically signifi-cant(all P<0.05).The incidence of postoperative complications in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).Before nursing,there were no significant differences in quality of life scores between the two groups(all P>0.05).After nursing,the scores of physical function,psychologi-cal function and social function in the observation group were higher than those in the control group,and the differ-ences were statistically significant(all P<0.05).Conclusion Providing seamless whole course nursing intervention for patients with diabetic foot surgery during the perioperative period is helpful to stabilize the blood glucose level of pa-tients,ensure the overall safety of surgery,and improve the quality of life of patients.

Diabetic footBone transportSeamless whole course nursingBlood glucose index

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盘州市人民医院骨科,贵州 盘州 553537

糖尿病足 骨搬移术 无缝隙全程护理 血糖指标

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(20)