院外延续宣教对糖尿病足中高危人群自护行为的影响研究  

Study on the effect of self-care behaviors for patients at high risk for diabetic foot by applying continuous outside-hospital education

作　　者：万建红[1] 何立环[1] 王殿辉[1] 周涛[1] 周庆玲[1] 

机构地区：[1]山东大学第二医院,山东济南250033

出　　处：《护士进修杂志》2014年第17期1564-1566,共3页Journal of Nurses Training

基　　金：山东省中医药科技发展计划项目(编号:2011PT3-032)

摘　　要：目的：探讨远程护理干预对2型糖尿病足中高危患者足部自护行为及血糖的影响。方法在2011年1～5月住院的糖尿病患者中，筛选出糖尿病足中高危患者60例为研究对象，随机分为对照组及干预组。对照组采取常规出院随访，干预组采取远程延续信函结合电话强化健康指导。比较两组患者在院时和出院2年后的足部自护行为、血糖值及糖尿病足危险因素评分。结果干预组患者干预前后的足部自护行为差异有显著意义（P＜0．05），与对照组比较差异有显著意义（P＜0．05）。在血糖值、糖尿病足危险因素评分等方面比较两组差异无显著意义。结论针对性的远程宣教，可以提高糖尿病足中高危患者的足部自护行为，但宣教模式还可进一步完善。Objective To study the effect on blood glucose and self-care behaviors for patients at high risk for type II diabetic foot by remote nursing intervention .Method 60 hospitalized patients with high risk of diabetes foot from January to May 2011 was selected and randomly divided into intervention group and control group .patients in control group wan given conventional discharge follow-up .patients in observation group was given continue remote letters combined with telephone strengthen health guidance .The foot self-care behaviors ,the blood glucose levels and risk factors for diabetic foot score was observed and compared during hospitalization and two years after dis-charged .Result There was significant differences in foot self-care behaviors for patients in intervention group before and after the intervention（P〈0 .05） .There was significant difference compared with the control group （P〈0 .05） . The blood glucose levels ,diabetic foot risk score and other aspects for the two groups showed no significant .Con-clusion Targeted remote education can increase foot self-care behavior for patients with high-risk of diabetic foot ,but the health education mode can be further improved .

关 键 词：糖尿病足 远程宣教 自护行为 护理 

分 类 号：R471[医药卫生—护理学] R587.2[医药卫生—临床医学]