心理护理对糖尿病足截肢术后康复的影响  

The Effect of Psychological Nursing on the Rehabilitation of Diabetic Foot after Amputation

作　　者：杨小翠 YANG Xiaocui(Operating Room,Affiliated People's Hospital of Fujian University of Traditional Chinese Medicine,Fuzhou,Fujian Province,350004 China)

机构地区：[1]福建中医药大学附属人民医院手术室,福建福州350004

出　　处：《糖尿病新世界》2021年第9期162-164,168,共4页Diabetes New World Magazine

摘　　要：目的观察心理护理干预对该院收治的糖尿病足患者截肢术后康复的临床应用效果。方法选取2017年1月—2019年11月该院收治的100例糖尿病足截肢患者作为观察对象,并根据随机数表法分为对照组和观察组,对照组50例给予临床上的常规护理,观察组50例在常规护理的基础上给予心理护理。采用统计学分析两组干预前后血糖水平、术后并发症及出院前疼痛、生活质量、心理状态(SAS、SDS评分)的评估。结果护理干预前,两组的血糖水平比较,差异无统计学意义(P>0.05);护理干预后,观察组血糖水平显著低于对照组,生活质量评分明显高于对照组,差异有统计学意义(P<0.05);观察组的术后并发症发生率、出院前疼痛、SAS评分以及SDS评分均显著低于对照组,差异有统计学意义(P<0.05)。结论心理护理干预可以有效控制患者的血糖水平,对促进糖尿病截肢患者术后康复有显著效果,值得在临床推广应用。Objective To observe the clinical effect of psychological nursing intervention on the rehabilitation after amputation of diabetic foot patients admitted to the hospital.Methods 100 patients with diabetic foot amputation admitted to the hospital from January 2017 to November 2019 were selected as observation objects,and were divided into control group and observation group according to the random number table method,of which 50 cases in the control group were given clinical routine nursing care,50 cases in the observation group were given psychological care on the basis of routine care.The evaluation of blood glucose level,postoperative complications,pain before discharge,quality of life,and mental state(SAS,SDS score)before and after the intervention were statistically analyzed.Results Before nursing intervention,there was no statistically significant difference in blood glucose levels between the two groups(P>0.05).After nursing intervention,the blood glucose level in the observation group was significantly lower than that in the control group,and the quality of life score was significantly higher than that in the control group,the difference was statistically significant(P<0.05).The incidence of postoperative complications,pre-discharge pain score,SAS score and SDS score in the observation group were significantly lower than those in the control group,the difference was statistically significant(P<0.05).Conclusion Psychological nursing intervention can effectively control the patient's blood glucose level,and has a significant effect on promoting postoperative rehabilitation of diabetic amputation patients.It is worthy of clinical application.

关 键 词：心理护理 糖尿病 糖尿病足 肢解 康复 

分 类 号：R47[医药卫生—护理学]