医联体共管分级诊疗模式应用于糖尿病足患者的效果观察  

Observation on the Effect of Medical Alliance Co-management Hierarchical Diagnosis and Treatment Model Applied to Diabetic Foot Patients

作　　者：王跃滨 张蔓菁[1] 吕福平 郑旋玲[1] 胡慧娴 林婷婷 WANG Yuebin;ZHANG Manjing;LYU Fuping;ZHENG Xuanling;HU Huixian;LIN Tingting(The First Affiliated Hospital of Xiamen University,Xiamen 361000,China;不详)

机构地区：[1]厦门大学附属第一医院,福建厦门361000

出　　处：《中国医学创新》2023年第33期175-179,共5页Medical Innovation of China

摘　　要：目的:探究医联体共管分级诊疗模式应用于糖尿病足患者的效果。方法:选取于2021年2月—2022年4月厦门大学附属第一医院收治的128例糖尿病足患者作为研究对象,并根据随机数字表法将其分为对照组(64例)和试验组(64例)。对照组接受常规护理干预,试验组接受医联体共管分级诊疗模式护理干预。对比两组自我管理能力、糖尿病足进展情况及临床疗效。结果:干预前,两组马拉加大学糖尿病足部自我护理问卷(DFSQ-UMA)中各维度评分对比,差异均无统计学意义(P>0.05);干预6个月后,两组DFSQ-UMA中各维度评分均较干预前上升,且试验组DFSQ-UMA中各维度评分均显著高于对照组(P<0.05)。干预3个月后,试验组Wagner分级处于0、1级的比例明显高于对照组,处于2、3级的比例明显低于对照组,差异均有统计学意义(P<0.05);干预6个月后,试验组Wagner分级处于0、1级比例明显高于对照组,处于4、5级明显低于对照组,差异均有统计学意义(P<0.05)。干预6个月后,试验组临床总有效率显著高于对照组(P<0.05)。结论:医联体共管分级诊疗模式应用于糖尿病足,有助于提高患者自我管理水平,改善糖尿病足进展情况,提高临床疗效。Objective:To explore the effect of medical alliance co-management hierarchical diagnosis and treatment model applied to diabetic foot patients.Method:A total of 128 diabetic foot patients admitted to the First Affiliated Hospital of Xiamen University from February 2021 to April 2022 were selected as the research objects,and they were divided into the control group(64 cases)and the experimental group(64 cases)according to random number table method.The control group received routine nursing intervention,and the experimental group received nursing intervention based on the medical alliance co-management hierarchical diagnosis and treatment model.The self-management ability,progress of diabetic foot and clinical efficacy were compared between the two groups.Result:Before the intervention,there were no significant differences in the scores of each dimension in the diagnostic foot self-care questionnaire of the university of Malaga(DFSQ-UMA)between the two groups(P>0.05);after the intervention,the scores of each dimension in DFSQ-UMA in the two groups were higher than those before the intervention,and the dimension scores of DFSQ-UMA in the experimental group were significantly higher than those in the control group(P<0.05).After 3 months of intervention,the proportion of Wagner grade 0 and 1 in the experimental group was significantly higher than that in the control group,and the proportion of Wagner grade 2 and 3 in the experimental group was significantly lower than that in the control group,the differences were statistically significant(P<0.05);after 6 months of intervention,the proportion of Wagner grade 0 and 1 in the experimental group was significantly higher than that in the control group,and the proportion of Wagner grade 4 and 5 in the experimental group was significantly lower than that in the control group,the differences were statistically significant(P<0.05).After the intervention,the total clinical efficacy rate of the experimental group was significantly higher than that of the control group(P<0.05).C

关 键 词：分级诊疗 糖尿病足 Wagner分级 糖尿病足部自我护理问卷 

分 类 号：R473.5[医药卫生—护理学]