糖尿病专科护士主导的糖尿病足照护方案的构建与应用效果研究  

Study on the construction and application effect of diabetic foot care program led by diabetes specialist nurses

作　　者：谢树英[1] 周艳辉[2] 邓平艳 张秋平[1] XIE Shuying;ZHOU Yanhui;DENG Pingyan;ZHANG Qiuping(Department of Endocrinology,Ganzhou People's Hospital,Jiangxi Province,Ganzhou 341000,China;Department of Nursing,the First Affiliated Hospital of University of South China,Hunan Province,Hengyang 421001,China)

机构地区：[1]江西省赣州市人民医院内分泌科,江西赣州341000 [2]南华大学附属第一医院护理部,湖南衡阳421001

出　　处：《中国当代医药》2025年第8期154-158,共5页China Modern Medicine

基　　金：江西省卫生健康委科技计划项目(202410876)。

摘　　要：目的探讨糖尿病专科护士主导的糖尿病足照护方案的应用效果。方法选取2023年9月至2024年1月赣州市人民医院出院的100例糖尿病足患者作为研究对象,采用随机数字表法分为对照组与观察组,每组各50例。对照组采用常规出院随访,观察组采用糖尿病专科护士主导的照护方案。两组均干预6个月。比较两组患者足部护理知识评分、足部护理行为评分、空腹血糖水平、糖化血红蛋白水平、创面愈合率、Wagner分级及因糖尿病足再入院率。结果两组患者出院3、6个月足部护理知识评分和足部护理行为评分均高于本组出院前,且观察组出院3、6个月足部护理知识评分和足部护理行为评分高于对照组,差异有统计学意义(P<0.05);两组患者出院3、6个月空腹血糖、糖化血红蛋白水平均低于本组出院前,且观察组出院3、6个月空腹血糖、糖化血红蛋白水平低于对照组,差异有统计学意义(P<0.05);观察组Wagner分级情况优于对照组,观察组创面愈合率高于对照组,观察组因糖尿病足再入院率低于对照组,差异有统计学意义(P<0.05)。结论糖尿病专科护士主导的照护方案不仅可以有效提高糖尿病足患者足部护理知识水平,改善足部护理状况,还可以降低血糖和糖化血红蛋白水平,促进创面愈合,减少再住院情况的发生。Objective To explore the application effect of diabetic foot care program led by diabetes specialist nurses.Methods A total of 100 diabetic foot patients discharged from Ganzhou People's Hospital from September 2023 to January 2024 were selected as the study objects and they were divided into control group and observation group by random number table method,with 50 cases in each group.The control group was treated with routine discharge follow-up,and the observation group was treated with nursing program led by diabetes specialist nurses.Both groups were treated for 6 months.Foot nursing knowledge score,foot nursing behavior score,fasting blood glucose level,glycosylated hemoglobin level,wound healing rate,Wagner grade and readmission rate of diabetic foot were compared between the two groups.Results The scores of foot nursing knowledge and foot nursing behavior at 3 and 6 months after discharge in two groups were higher than those before discharge,and the scores of foot nursing knowledge and foot nursing behavior at 3 and 6 months after discharge in the observation group were higher than those in the control group,with statistical significances(P<0.05).The levels of fasting blood glucose and glycosylated hemoglobin in two groups at 3 and 6 months after discharge were lower than those before discharge,and the levels of fasting blood glucose and glycosylated hemoglobin in observation group at 3 and 6 months after discharge were lower than those of the control group,with statistical significances(P<0.05).The Wagner grading of the observation group was better than that of the control group,the wound healing rate of the observation group was higher than that of the control group,and the readmission rate due to diabetic foot in the observation group was lower than that of the control group,with statistical significances(P<0.05).Conclusion The nursing program led by diabetes specialist nurses can not only effectively improve the knowledge level of foot care and improve the condition of foot care in diabetic foot patien

关 键 词：糖尿病足 专科护士 足部护理知识 足部护理行为 Wagner分级 

分 类 号：R47[医药卫生—护理学]