根据踝臂指数和感觉阈值实施糖尿病足强化健康教育  

Intensive Health Education for Patients with Diabetic Foot Based on Ankle-brachial Index and Vibration Perception Threshold

作　　者：吴丽琴[1,2] 胡朝晖[1,2] 陈育群[1,2] 

机构地区：[1]浙江中医药大学附属医院 [2]衢州市中心医院,浙江衢州324000

出　　处：《护理学报》2012年第2期76-78,共3页Journal of Nursing（China）

摘　　要：目的观察对糖尿病患者根据踝臂指数和感觉阈值实施糖尿病足强化健康教育的效果。方法对60例糖尿病患者实施踝臂指数和感觉阈值测定、足部评估,根据测定值和评估结果,对患者进行知识宣教和强化;对足部问题及时进行处理;给予糖尿病足部知识指导和生活方式指导。结果干预后(出院时)60例糖尿病患者的足部皮肤干燥、皲裂、甲沟炎、皮肤损伤较干预前明显改善(P<0.05);干预后(出院3个月)患者对糖尿病足的重视程度提高,足部自护行为改善(P<0.05)。结论对糖尿病患者进行踝臂指数、感觉阈值测定和足部评估,并根据结果进行健康指导和干预,能明显提高健康教育效果;对于糖尿病足高危患者,在出院后给予进一步的电话随访,能强化其足部知识和改善生活方式,预防或减少糖尿病足的发生。Objective To observe the effect of intensive health education for diabetic foot patients based on ankle-brachial index and vibration perception threshold.Methods After the determination of ankle-brachial index and vibration perception threshold and the evaluation of feet conditions,patients were received intensive health education and guidance for diabetic foot and life style.Results There existed less feet rhagadia,paronychia and skin damage after the education and patients＇ skin become less dehydrated as well（P0.05）.Three months after discharge,patients attached more importance to diabetic foot and conduct more self-care to their feet（P0.05）.Conclusion Health education based on ankle-brachial index and vibration perception threshold is beneficial to the improvement of patients＇ life style and their knowledge of feet conditions.

关 键 词：糖尿病足 踝臂指数 感觉阈值 健康教育 

分 类 号：R587.1[医药卫生—内分泌]