综合护理干预在1151例老年糖尿病足患者中的应用研究  

Application research on comprehensive nursing intervention in 1151 cases of elderly diabetic foot patients

作　　者：李宝军[1] 关小宏[2] 朱艳兰 高歌[4] 关泰宇 盛薇[1] 苏楠[1] 

机构地区：[1]解放军空军总医院干部病房 [2]解放军空军总医院内分泌科 [3]解放军94580部队 [4]解放军空军总医院门诊部 [5]中国牧工商(集团)总公司

出　　处：《中华损伤与修复杂志（电子版）》2015年第5期74-78,共5页Chinese Journal of Injury Repair and Wound Healing(Electronic Edition)

基　　金：解放军空军总医院资助项目(kz2008006)

摘　　要：目的探讨综合护理干预用于老年糖尿病足患者的应用效果。方法对1151例老年糖尿病足患者进行综合护理干预,包括血糖控制、血压控制、适当运动、预防低血糖、足部护理、饮食护理、健康教育指导、足部创面护理、足部负压创面治疗技术护理、自体干细胞移植护理、下肢介入治疗护理、组织工程皮肤护理、出院健康指导、电话随访等措施。结果 1151例老年糖尿病足患者,血压、血糖均控制良好,创面均愈合,无低血糖反应发生,1147例痊愈出院,4例好转行门诊换药治愈。结论通过综合治疗护理干预可以提高老年糖尿病足患者的治愈率,降低截肢率,提高了糖尿病足患者的生活质量。Objective To investigate the application effect of nursing intervention for elderly patients with diabetic foot. Method One thousand one hundred and fifty one cases of elderly diabetic foot patients were proceed with comprehensive nursing intervention, including blood glucose control, blood pressure control, appropriate exercise, prevention of hypoglycemia, foot care, diet nursing, health education guidance, the foot wound care, foot negative pressure wound therapy nursing, autologous stem cell transplantation, lower limb interventional treatment hospital nursing, tissue engineering skin care, health guidance, and telephone follow-up measures. Results The blood pressure and blood sugar of 1151 cases of elderly diabetic foot patients were controlled well, and the wound was healed. Hypoglycemia reactions were not observed. One thousand one hundred and forty seven cases were restored, and four cases were improved by outpatient treatment. Conclusions Comprehensive nursing intervention treatment can improve the cure rate of elderly diabetic foot patients, and decrease the rate of amputation. The elderly diabetic foot patients＂ quality of life was improved by comprehensive nursing intervention treatment measures.

关 键 词：糖尿病足 老年 伤口愈合 综合护理干预 

分 类 号：R473.5[医药卫生—护理学]