摘要
目的 观察糖尿病足截肢患者实施综合护理的效果,以提升糖尿病足截肢患者的生存质量.方法 选取2020年1月-2022年12月天津医科大学朱宪彝纪念医院收治的糖尿病足截肢患者68例为研究对象,根据护理方法不同将其分为研究组和对照组各34例.研究组给予综合护理,对照组给予常规护理.比较两组患者截肢后并发症发生率、焦虑自评量表(SAS)、抑郁自评量表(SDS)、术后疼痛程度、生活质量评分及护理满意率.结果 研究组截肢后并发症发生率为0.00％,低于对照组的11.76％,差异有统计学意义(x2=4.250 0,P＜0.05).研究组干预后SAS、SDS、VAS评分均低于对照组,SF-36评分高于对照组,差异均有统计学意义(P＜0.05).研究组护理满意率为91.18％,高于对照组的70.59％,差异有统计学意义(x2=4.660 1,P=0.0309).结论 糖尿病足截肢患者实施综合护理可有效改善焦虑与抑郁等不良心理,减轻患者疼痛,提升患者生活质量,降低并发症发生率,提高患者满意率,值得临床推广应用.
Abstract
Objective To observe the effect of comprehensive nursing for amputation patients with diabetic foot,and improve the quality of life of amputation patients with diabetic foot.Methods From January 2020 to December 2022,68 amputation patients with diabetic foot who were treated in Tianjin Medical University Chu Hsien-I Memorial Hospital were selected as the research objects.According to different nursing methods,they were divided into study group and control group with 34 cases in each group.The study group received comprehensive nursing,while the control group received routine nursing.The incidence of complications after amputation,self rating anxiety scale(SAS),self rating depression scale(SDS),postoperative pain level,quality of life scores and nursing satisfaction rate between two groups were compared.Results The incidence of complications after amputation in the study group was 0.00％,which was lower than 11.76％in the control group,and the difference was statistically significant(x2=4.250 0,P＜0.05).After intervention,the SAS,SDS and VAS scores of the study group were lower than those of the control group,while the SF-36 score was higher than that of the control group,and the differences were statistically significant(P＜0.05).The nursing satisfaction rate in the study group was 91.18％,which was higher than 70.59％in the control group,and the difference was statistically significant(x2=4.660 1,P=0.030 9).Conclusion The implementation of comprehensive nursing for amputation patients with diabetic foot could effectively improve anxiety and depression,alleviate their pain,improve their quality of life,reduce incidence of complications and improve the satisfaction rate of patients,which was worthy of clinical promotion and application.
NETL
NSTL
维普
万方数据