护理流程再造在糖尿病性下肢病变行介入患者中的应用  

Application of Nursing Process Reengineering in Patients with Diabetic Lower Extremity Lesions Undergoing Interventional Therapy

作　　者：董程杰 魏子亭 吴翠翠 DONG Chengjie;WEI Ziting;WU Cuicui(Department of Vascular Surgery,the First Affiliated Hospital of Bengbu Medical University,Bengbu 233400,Anhui,China)

机构地区：[1]蚌埠医科大学第一附属医院血管外科,安徽蚌埠233400

出　　处：《糖尿病新世界》2024年第17期152-155,共4页Diabetes New World

摘　　要：目的探讨糖尿病性下肢病变行介入治疗患者实施护理流程再造的临床效果。方法回顾性选取2022年1月—2023年12月蚌埠医科大学第一附属医院血管外科收治的80例糖尿病性下肢病变行介入治疗的患者的临床资料,依据护理方法的不同分为两组,各40例。对照组进行常规护理,观察组进行护理流程再造干预,比较两组下肢自护能力、临床症状改善评分及健康调查简表(Medical Outcomes Study 36-item Short Form Health Survey,SF-36)评分。结果护理后,观察组下肢自护能力评分均高于对照组,差异有统计学意义(P均<0.05)。护理后,观察组下肢麻木、溃疡、下肢发凉评分均低于对照组,差异有统计学意义(P均<0.05)。护理后,观察组SF-36评分均高于对照组,差异有统计学意义(P均<0.05)。结论应用护理流程再造于糖尿病下肢病变行介入治疗的患者中,有助于改善症状,提高下肢自护能力、生活质量。Objective To explore the clinical effect of nursing process reengineering in patients with diabetic lower extremity lesions undergoing interventional therapy.Methods The clinical data of 80 patients with diabetic lower extremity lesions who underwent interventional therapy in the Department of Vascular Surgery of the First Affiliated Hospital of Bengbu Medical University from January 2022 to December 2023 were retrospectively selected.According to different nursing methods,they were divided into two groups,40 cases in each group.The control group was given routine nursing,and the observation group was given nursing process reengineering intervention.The lower limb self-care ability,clinical symptom improvement scores and Medical Outcomes Study 36-item Short Form Health Survey(SF 36)score were compared between the two groups.Results After nursing,the Exercise of Self-care Agency Scale scores of the observation group were higher than those of the control group,and the differences were statistically significant(all P<0.05).After nursing,the scores of lower limb numbness,ulcer and lower limb coldness in the observation group were lower than those in the control group,and the differences were statistically significant(all P<0.05).After nursing,the SF-36 scores of the observation group were higher than those of the control group,and the differences were statistically significant(all P<0.05).Conclusion The application of nursing process reengineering in patients with diabetic lower extremity lesions undergoing interventional therapy can help to improve symptoms,improve lower extremity self-care ability and quality of life.

关 键 词：护理流程再造 糖尿病 下肢病变 介入治疗 

分 类 号：R473[医药卫生—护理学]