以Triangle模型为基础的分级护理应用于糖尿病足患者的效果  

Effect of Grading Nursing Based on Triangle Model Applied to Patients with Diabetes Foot

作　　者：李文芳 辛婧[1] 侯新凤[1] 沈亚非[1] 邓飞[1] LI Wenfang;XIN Jing;HOU Xinfeng;SHEN Yafei;DENG Fei(Luohe Central Hospital(the First Affiliated Hospital of Luohe Medical College),Luohe 462000,China)

机构地区：[1]漯河市中心医院(漯河市医专第一附属医院),河南漯河462000

出　　处：《河南医学研究》2024年第15期2869-2872,共4页Henan Medical Research

基　　金：河南省医学科技攻关计划联合共建项目(LHGJ20191428)。

摘　　要：目的观察并分析以Triangle模型为基础的分级护理应用于糖尿病足患者的效果。方法选取漯河市中心医院2021年12月至2023年12月收治的97例糖尿病足患者,按照抽签法分组,常规组48例接受常规护理,研究组49例患者接受以Triangle模型为基础的分级护理,均干预3个月后,比较两组溃疡修复情况、神经传导速度、自我效能、并发症及生活质量。结果研究组感觉检查、症状以及反射评分低于常规组(P<0.05)。研究组胫神经、腓总神经传导速度快于常规组(P<0.05)。研究组3个月后自我减压、自我决策、正性态度及生活质量评分均高于常规组(P<0.05)。研究组10 g尼龙绳触觉、痛觉、冷热觉及振动觉异常和下肢麻木发生率低于常规组(P<0.05)。两组皮肤干燥情况差异无统计学意义(P>0.05)。结论以Triangle模型为基础的分级护理可明显提高糖尿病足患者自我效能,有利于其溃疡修复和神经传导速度改善,减少并发症发生并促进生活质量的提高。Objective To observe and analyze the effect of grading nursing based on Triangle model applied to patients with diabetes foot.Methods A total of 97 patients with diabetes foot who were admitted to Luohe Central Hospital from December 2021 to December 2023 were selected and divided into two groups according to the method of drawing lots.48 patients in the conventional group received conventional nursing care,and 49 patients in the research group received graded nursing care based on the Triangle model.After three months of intervention,the ulcer repair,nerve conduction velocity,self-efficacy,complications and quality of life of the two groups were compared.Results The sensory examination,symptoms,and reflex scores of the research group were lower than those of the conventional group(P<0.05).The conduction speed of the tibial nerve and common peroneal nerve in the research group was faster than that in the control group(P<0.05).After 3 months,the research group had higher scores for self stress reduction,self decision-making,positive attitudes,and quality of life than the control group(P<0.05).The incidence of abnormal tactile sensation,pain sensation,thermal sensation,vibration sensation,and lower limb numbness in the research group with 10 g nylon rope was lower than that in the control group(P<0.05).There was no statistically difference in skin dryness between the two groups(P>0.05).Conclusion Graded nursing based on Triangle model can significantly improve the self-efficacy of patients with diabetes foot,help them to repair ulcers and improve nerve conduction velocity,reduce complications and promote the improvement of quality of life.

关 键 词：糖尿病足 Triangle模型 分级护理 神经传导速度 自我效能 

分 类 号：R471[医药卫生—护理学]