基于个案管理的延伸护理在糖尿病足患者中的应用效果  

Application effects of extended nursing based on case management in patients with diabetic foot

作　　者：翟红娟[1] 张秋君[2] 桑艳红[1] 李玉萍[1] 李奕瑾 张艳姣 宋秋艳[1] ZHAI Hongjuan;ZHANG Qiujun;SANG Yanhong;LI Yuping;LI Yijin;ZAHNG Yanjiao;SONG Qiuyan(The Fifth Affiliated Hospital of Zhengzhou University,Endocrinology Department,Zhengzhou 450052 Henan,China;The Fifth Affiliated Hospital of Zhengzhou University,Nursing Department,Zhengzhou 450052 Henan,China)

机构地区：[1]郑州大学第五附属医院内分泌科,河南郑州450052 [2]郑州大学第五附属医院护理部,河南郑州450052

出　　处：《中国民康医学》2024年第21期162-165,共4页Medical Journal of Chinese People’s Health

基　　金：河南省医学科技攻关计划联合共建项目(LHGJ20210493)。

摘　　要：目的:观察基于个案管理的延伸护理在糖尿病足患者中的应用效果。方法:回顾性分析2020—2022年于该院就诊的90例糖尿病足患者的临床资料,按照入院顺序不同将其分为对照组和观察组各45例。对照组实施常规护理,观察组在对照组基础上实施基于个案管理的延伸护理,比较两组护理前后自我效能[一般自我效能感量表(GSES)]评分、负性情绪[症状自评量表(SCL-90)]评分、生命质量[世界卫生组织生存质量测定量表简表(WHOQOL-BREF)]评分,以及并发症发生率和再入院率。结果:护理后,观察组GSES评分高于对照组,SCL-90评分低于对照组,差异均有统计学意义(P<0.05);观察组并发症发生率为4.44%(2/45),低于对照组的24.44%(11/45);观察组再入院率为2.22%(1/45),低于对照组的17.78%(8/45),差异均有统计学意义(P<0.05);护理后,观察组社会关系领域、心理领域、生理领域、环境领域等WHOQOL-BREF评分均高于对照组,差异有统计学意义(P<0.05)。结论:在常规护理基础上实施基于个案管理的延伸护理可提高糖尿病足患者自我效能和生命质量评分,降低负性情绪评分、并发症发生率和再入院率,效果优于单纯常规护理。Objective:To observe application effects of extended nursing based on case management in patients with diabetic foot.Methods:The clinical data of 90 patients with diabetic foot who were treated in this hospital from 2020 to 2022 were retrospectively analyzed.According to the order of admission,they were divided into control group and observation group,45 cases in each group.The control group was given routine nursing,while the observation group was given the extended nursing based on case management on the basis of that of the control group.The self-efficacy[general self-efficacy scale(GSES)]score,the negative emotion[symptom checklist(SCL-90)]score,the quality of life[World Health Organization quality of life scale-brief(WHOQOL-BREF)]score before and after the nursing,and the incidence of complications and the readmission rate were compared between the two groups.Results:After the nursing,the GSES score of the observation group was higher than that of the control group,the SCL-90 score was lower than that of the control group,and the differences were statistically significant(P<0.05).The incidence of complications in the observation group was 4.44%(2/45),which was lower than 24.44%(11/45)in the control group;the readmission rate of the observation group was 2.22%(1/45),which was lower than 17.78%(8/45)of the control group;and the differences were statistically significant(P<0.05).Furthe,after the nursing,the scores of WHOQOL-BREF in the fields of social relations,psychology,physiology and environment in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusions:On the basis of the routine nursing,the extended nursing based on case management can improve the self-efficacy and quality of life scores of the diabetic foot patients,and reduce the negative emotion scores,the incidence of complications and the readmission rate.Moreover,it is superior to simple routine nursing.

关 键 词：个案管理 延伸护理 糖尿病足 自我效能 生命质量 负性情绪 并发症 

分 类 号：R473.5[医药卫生—护理学]