加强皮肤护理在糖尿病患者中的应用意义  

Significance of Strengthening Skin Care in Diabetic Patients

作　　者：姜虹[1] JIANG Hong(The First Affiliated Hospital of Dalian Medical University,Dalian 116007,China)

机构地区：[1]大连医科大学附属第一医院,辽宁大连116007

出　　处：《中国医药指南》2021年第2期193-194,共2页Guide of China Medicine

摘　　要：目的分析糖尿病患者加强皮肤护理的意义。方法采用分层随机法将我院于2018年12月至2019年12月收治的126例糖尿病患者分为对比组(63例,实施常规护理)和病例组(63例,在常规护理基础上加强皮肤护理),分析两组患者皮肤护理知识得分、皮肤并发症发生情况、护理满意度。结果评价两组患者皮肤护理知识得分:病例组患者皮肤护理知识得分(92.11±6.40)分,对比组患者皮肤护理知识得分(80.73±5.97)分,组间对比结果显示,病例组患者皮肤护理知识得分较对比组更高(t=10.320,P=0.001),差异有意义(P <0.05)。评价两组患者皮肤并发症发生情况:病例组患者中有2例发生皮肤瘙痒,1例发生水疱病,1例发生化脓性感染,未发生糖尿病足,皮肤并发症发生率为6.35%(4/63);对比组患者中有10例发生皮肤瘙痒,5例发生水疱病,3例发生化脓性感染,4例发生糖尿病足,皮肤并发症发生率为34.92%(22/63),组间对比结果显示,病例组患者皮肤并发症发生率较对比组更低(χ2=24.921,P=0.001),差异有意义(P <0.05)。评价两组患者护理满意度:病例组患者中有31例非常满意,27例一般满意,5例非常不满意,护理满意度为92.06%(58/63);对比组患者中有20例非常满意,18例一般满意,25例非常不满意,护理满意度为60.32%(38/63),组间对比结果显示,病例组患者护理满意度较对比组更高(χ2=27.767,P=0.001),差异有意义(P <0.05)。结论加强皮肤护理可以有效改善糖尿病患者的认知度与满意度,预防皮肤瘙痒、水疱病、化脓性感染、糖尿病足等皮肤并发症发生。Objective To analyze the significance of strengthening skin care for diabetic patients. Methods Using stratified random method to the hospital from December 2018 to December 2019 were divided into control group of 126 cases of diabetic patients(63 cases, conventional nursing) and case group(63 cases, on the basis of conventional nursing to strengthen skin care), analysis of two groups of patients with skin care knowledge score, skin complications, nursing satisfaction. Results The score of skin care knowledge of patients in the two groups was evaluated: the score of skin care knowledge of patients in the case group was(92.11±6.40) points, and the score of skin care knowledge of patients in the comparison group was(80.73±5.97) points. The results of the inter-group comparison showed that the score of skin care knowledge of patients in the case group was higher than that in the comparison group(t =10.320, P =0.001), and the difference was significant(P <0.05). The incidence of skin complications in the two groups was evaluated: in the case group, there were 2 cases of pruritus, 1 case of blisters, 1 case of suppurative infection, no diabetic foot, and the incidence of skin complications was 6.35%(4/63). In the comparison group, there were 10 cases of pruritus, 5 cases of blister, 3 cases of suppurative infection, 4 cases of diabetic foot, and the incidence of skin complications was 34.92%(22/63). The results of the intergroup comparison showed that the incidence of skin complications in the case group was lower than that in the control group(χ~2=24.921, P =0.001), indicating a significant difference(P <0.05). In the case group, 31 patients were very satisfied, 27 patients were generally satisfied, 5 patients were very dissatisfied, and the nursing satisfaction was 92.06%(58/63). In the comparison group, there were 20 patients who were very satisfied, 18 patients who were generally satisfied, 25 patients who were very dissatisfied, and the nursing satisfaction was 60.32%(38/63). The results of the inter-group com

关 键 词：糖尿病 皮肤护理 颈动脉粥样硬化 斑块稳定性 满意度 效果 

分 类 号：R473.5[医药卫生—护理学] R473.75[医药卫生—临床医学]