精细化干预在重症糖尿病足伤口护理中的应用效果  

Application Effect of Fine Intervention in Wound Nursing of Severe Diabetes Foot

作　　者：张蔓菁[1] 林婷婷 郑旋玲[1] 王跃滨 ZHANG Manjing;LIN Tingting;ZHENG Xuanling;WANG Yuebin(The First Affiliated Hospital of Xiamen University,Xiamen 361003,China;不详)

机构地区：[1]厦门大学附属第一医院,福建厦门361003

出　　处：《中外医学研究》2025年第5期81-84,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨精细化干预在重症糖尿病足伤口护理中的应用效果。方法:选取2023年1月—2024年1月厦门大学附属第一医院收治的80例重症糖尿病足患者作为研究对象,根据随机原则分为对照组和观察组,各40例。对照组住院期间给予常规护理,观察组住院期间给予精细化干预,比较两组临床指标、血糖指标、生活质量及护理满意度。结果:观察组创面愈合时间早于对照组,视觉模拟评分法(VAS)评分低于对照组,护理满意度高于对照组,差异有统计学意义(P<0.05);干预后,两组空腹血糖、餐后2 h血糖、糖化血红蛋白降低,且观察组低于对照组,差异有统计学意义(P<0.05);干预后,两组生理功能、心理功能、角色及躯体功能评分升高,且观察组高于对照组,差异有统计学意义(P<0.05)。结论:精细化干预可促进重症糖尿病足患者创面愈合,缓解疼痛,降低血糖水平,提升生活质量与护理满意度。Objective:To explore the application effect of fine intervention in wound nursing of severe diabetes foot.Method:A total of 80 patients with severe diabetes foot who admitted to the First Affiliated Hospital of Xiamen University from January 2023 to January 2024 were selected as the research objects,they were divided into the control group and the observation group according to the principle of randomization,with 40 cases in each group.The control group was given routine nursing during hospitalization,and the observation group was given fine intervention during hospitalization.The clinical indexes,blood glucose indexes,quality of life and nursing satisfaction were compared between two groups.Result:The wound healing time of the observation group was earlier than that of the control group,the visual analogue scale(VAS)score was lower than that of the control group,and the nursing satisfaction was higher than that of the control group,the differences were statistically significant(P<0.05);after intervention,the fasting blood glucose,2 h postprandial blood glucose and glycosylated hemoglobin in two groups were decreased,and those in the observation group were lower than the control group,the differences were statistically significant(P<0.05);after intervention,the scores of physiological function,psychological function,role and physical function in two groups were increased,and those in the observation group were higher than the control group,the differences were statistically significant(P<0.05).Conclusion:Fine intervention can promote the severe diabetes foot patients'wound healing,relieve pain,reduce blood glucose levels,and improve quality of life and nursing satisfaction.

关 键 词：重症糖尿病足 伤口护理 精细化干预 血糖 

分 类 号：R47[医药卫生—护理学]