循证护理在促进胫骨横向骨搬移术后2型糖尿病足溃疡康复的效果观察  

Effect of evidence-based nursing on rehabilitation of type 2 diabetic foot ulcers after transverse tibial bone transportation

作　　者：翁琳萍 吴屹冰 郑雪红[1] 魏鹏 Weng Linping;Wu Yibing;Zheng Xuehong;Wei Peng(Hand and Foot Trauma Surgery Ward of Ningbo First Hospital,Ningbo 315000,China)

机构地区：[1]浙江省宁波市第一医院手足创伤外科,315000

出　　处：《中国实用护理杂志》2019年第12期886-891,共6页Chinese Journal of Practical Nursing

基　　金：浙江省卫生厅项目(YKFJ2-008,2019KY583).

摘　　要：目的用循证护理的原理来检索、学习、总结出一套胫骨横向骨搬移患者术后的护理路径,并探究其护理效果。方法运用一套具有针对性的护理干预方案,对17例胫骨横向骨搬移术后的2型糖尿病足患者进行护理,2个月后用溃疡减小百分数、视觉疼痛评分、足背温度来评价护理效果。结果术前足背皮温为(28.49±1.12)℃,视觉疼痛评分为(4.06±1.40)分,随访2个月后足背皮温为(29.97±1.26)℃,视觉疼痛评分为(1.94±1.92)分,干预前后比较差异有统计学意义(t=-4.822、0.000,P<0.01或0.05)。15例(另2例治疗中截趾,无法统计)溃疡面积比干预前减小25%~100%,平均为59%(25%+32%+35%+39%+43%+46%+52%+53%+58%+63%+79%+81%+87%+100%+100%)/15)。结论实施循证护理可提供及时而有效的护理干预,减轻患者的痛苦,促进胫骨横向骨搬移术后糖尿病足溃疡的康复。Objective Based on the principle of evidence-based nursing,we searched,studied and summarized a nursing pathway for patients who after transverse tibial bone transportation,and explored its effect.Methods With A set of targeted nursing intervention program,17 patients with type 2 diabetic foot patients after transverse tibial bone transportation were nursed.After 2 months,the percentage of ulcer decreased,the visual analogue scale and the temperature of foot dorsum were used to evaluate the nursing effect.Results The average temperature of foot dorsum was(28.49±1.12)℃,the average visual analogue scale was(4.06±1.40).And after 2 months,the average temperature of foot dorsum was(29.97±1.26)℃,the average visual analogue scale was(1.94±1.92),and the area of ulcer in 15 cases(2 cases could not be counted due to toe amputations in treatment)decreased by 25%~100%,with an average of 59%,compared with that before intervention.Conclusions The implementation of evidence-based nursing can provide effective nursing intervention,relieve the pain of patients,and promote the rehabilitation of diabetic foot ulcers after transverse tibial bone transportation.

关 键 词：循证护理 胫骨横向骨搬移 糖尿病足 溃疡 

分 类 号：R473.6[医药卫生—护理学] R-03[医药卫生—临床医学]