风险管理策略在糖尿病足换药护理中的应用效果  

Application effects of the risk management strategy in diabetic foot dressing care

作　　者：朱均梅 张丹妮[1] 李莹 ZHU Jun-mei;ZHANG Dan-ni;LI Ying(Department of Endocrinology,Xiaolan People′s Hospital,Zhongshan Guangdong 528415,China)

机构地区：[1]广东省中山市小榄人民医院内分泌科,528415

出　　处：《蚌埠医学院学报》2020年第5期676-679,共4页Journal of Bengbu Medical College

摘　　要：目的:探讨风险管理策略在糖尿病足换药护理中的应用效果。方法:选取糖尿病足部病变病人116例作为研究对象,随机分成采用常规换药护理措施的对照组和采用风险管理策略进行换药护理的观察组,各58例,比较2组病人护理前后血糖含量的变化、治疗效果(血糖控制时间、创面愈合时间、敷料持续时间、住院时间)、护理病人的依从性以及护理过程风险事件的发生情况。结果:护理前,2组病人空腹血糖含量、餐后2 h血糖含量差异无统计学意义(P>0.05);护理后,观察组空腹血糖含量、餐后2 h血糖含量均明显低于对照组(P<0.01),2组护理后空腹血糖含量、餐后2 h血糖含量均较护理前明显降低(P<0.01)。观察组病人血糖控制时间、创面愈合时间明显低于对照组病人,敷料持续时间明显高于对照组(P<0.01)。观察组病人护理依从性高于对照组(P<0.05)。观察组创面感染情况少于对照组(P<0.05)。结论:将风险管理策略运用于糖尿病足换药护理中不仅可以有效降低糖尿病病人的血糖水平,利于治疗康复,而且可以提高病人康复效率,减少护理过程风险事件的发生率,值得临床推广运用。Objective:To explore the application value of the risk management strategies in diabetic foot replacement care.Methods:A total of 116 patients with diabetic foot disease were selected,and randomly divided into the control group and observation group(58 cases each group).The control group was nursed with routine dressing care,and the observation group was nursed with the risk management strategy.The levels of blood glucose in two groups between before and after nursing were compared.The therapeutic effects(including the blood glucose control time,wound healing time,dressing duration and length of stay),care compliance and incidence rate of nursing-related risk events were compared between two groups.Results:Before nursing,the differences of the levels of fasting plasma glucose and postprandial 2 h blood glucose between two groups were not statistically significant(P<0.05).After nursing,the levels of fasting plasma glucose and postprandial 2 h blood glucose in observation group were significantly lower than those in control group(P<0.01),and the levels of fasting plasma glucose and postprandial 2 h blood glucose in two groups significantly decreased compared with before nursing(P<0.01).The blood sugar control time and wound healing time in observation group were significantly lower than those in control group,and the duration of dressing in observation group was significantly higher than that in control group(P<0.01).The compliance of nursing in observation group was significantly better than that in control group(P<0.05).The wound infection in observation group was less than that in control group(P<0.05).Conclusions:The application of the risk management strategy in diabetic foot dressing care can not only effectively reduce the blood glucose level of diabetic patients,but also improve the rehabilitation efficiency of patients and reduce the incidence of adverse reactions in the nursing process.It is worthy of clinical promotion and application.

关 键 词：糖尿病 风险管理策略 换药护理 应用效果 

分 类 号：R587.1[医药卫生—内分泌]