持续性护理对糖尿病大腿截肢患者心理和生活质量影响的初步临床研究  

Effect of Continuous Nursing Care on Psychological and Quality of Life in Patients with Diabetic Thigh Amputation:a Preliminary Study

作　　者：赵克聪[1] 张宝翠[1] 陈瑞坤 高雅楠 王学华 田旭影 田靖晓 高伟 闵红巍[1] ZHAO Ke-cong;ZHANG Bao-cui;CHEN Rui-kun(Department of rehabilitation Rehabilitation center of Beijing Boai hospital,Beijing 100068)

机构地区：[1]中国康复研究中心北京博爱医院骨与骨关节康复科,北京100068

出　　处：《中国伤残医学》2022年第13期35-40,共6页Chinese Journal of Trauma and Disability Medicine

摘　　要：探讨持续性护理对糖尿病大腿截肢患者心理和生活质量的影响.方法:选取2015年7月-2020年9月北京博爱医院收治的糖尿病大腿截肢患者68例,采用随机数字表法分为对照组和观察组,每组34例.对照组患者采用常规护理,观察组患者采用持续性护理.比较2组患者术前,术后6个月时焦虑自评量表(SAS)、抑郁自评量表(SDS)、功能独立性评定(FIM)和护理满意度.结果:术前,2组患者SAS评分,SDS评分和FIM评分差异无统计学意义(P>0.05).术后6个月,观察组SAS和SDS评分分别为(42.2±6.5)分和(43.3±10.3)分,低于对照组的(50.3±8.5)分和(53.2±8.5)分,差异具有统计学意义(P<0.05).观察组FIM评分为(105.5±10.1)分,高于对照组的(98.2±8.5)分,差异具有统计学意义(P<0.05).术后6个月,观察组患者护理优良率为91%,显著高于对照组的79%,差异有统计学意义(P<0.05).结论:持续性护理有利于减轻糖尿病大腿截肢患者的焦虑、抑郁状态,提高患者日常生活能力和护理满意度,值得临床推广.To explore the effect of continuous nursing on the psychological and life quality in patients with diabetic thigh amputation.Methods:68 patients with diabetes amputation in the Beijing Bo'ai Hospital from July 2015 to September 2020 were selected and divided into control group and observation group randomly,34 cases in each group.The patients in the control group were treated with routine nursing,and the patients in the observation group were treated with continuous nursing care.The self rating Anxiety Scale(SAS),self rating Depression Scale(SDS),functional independence assessment(FIM)and nursing satisfaction were compared between the two groups preoperatively and 6 months postoperatively.Results:There was no significant difference in SAS score,SDS score and FIM score between the two groups(P>0.05)before operation.The SAS and SDS scores of the observation group were 42.2±6.5 and 43.3±10.3,lower than 50.3±8.1 and 53.2±8.5 of the control group 6 months postoperatively(P<0.05).The FIM score of the observation group was 105.5±10.1,which was higher than 98.2±8.5 of the control group(P<0.05).The excellent and good rate of clinical nursing in the observation group(91%)was significantly higher than that in the control group(79%)6 months postoperatively(P<0.05).Conclusions:The continuous nursing care is beneficial to reduce the anxiety and depression state of patients with diabetic thigh amputation,improve their activities of daily living and nursing satisfaction,which is worthy of clinical promotion.

关 键 词：持续性性护理 糖尿病 截肢 心理 生活质量 

分 类 号：R473[医药卫生—护理学]