开展糖尿病足部门诊在预防糖尿病足溃疡中的体会.docVIP

开展糖尿病足部门诊在预防糖尿病足溃疡中的体会 　　摘要：目的 探讨糖尿病足病门诊在管理糖尿病高危足中的效果。方法 开展糖尿病足部护理门诊，对32例糖尿病高危足患者进行足部处理，个体化宣教，预防保健的指导，并且在3个月，6个月，12个月时采用“糖尿病足相关知识、自我效能及自护能力评价表”对患者进行评估。同时在内分泌普通门诊选32例患者作为对照组。结果 32例糖尿病高危足患者中有2例脱访，1例发生足溃疡，患者的健康教育知识，自护能力都随着时间的延长而提高。足病门诊的患者12个月后各评分都高于内分泌科普通门诊。结论 糖尿病足病门诊能有效管理糖尿病高危足患者，预防足溃疡的发生。 　　关键词：糖尿病足护理门诊；健康教育；胼胝 　　Experience of Prevention of Diabetic Foot Ulcers in Carry on Diabetic Foot Clinic 　　CHEN Fang-fang，ZHENG Jian-di，XU Ya-qing 　　（Hospital of Integrated Traditional Chinese and Western Medicine in Zhejiang Province，Hangzhou 310000，Zhejiang，China） 　　Abstract：Objective To investigate the effect of out-patient management on high-risk diabetic foot. Methods We Carried out diabetic foot care clinic， treat with 32 cases of patients with high-risk diabetic foot， provide them with individualized education and guidance of prevention and care. Besides we use diabetic foot related knowledge and self-efficacy and self-care ability evaluation form to assess the effect on patients after 3 month， 6 months， 12 months. At the same time 32 patients from the endocrine outpatient clinic were selected as control group，Control group accepted routine diabetes health education . Results Except 2 cases were missing， and 1 cases developed foot ulcer， the rest of patients ， health education knowledge， self-care ability increased with the extension of time of treatment. After 12 months， the score of Foot disease out-patients is higher than the ordinary outpatient department of endocrinology. Conclusion The diabetic foot clinics can provide us with effective management on patients with high-risk diabetic foot， and prevent foot ulcers. 　　Key words：Diabetic foot； Nursing clinic； Health education； Corpus callosum 　　糖尿病足（DF）又称为糖尿病肢端坏疽，是糖尿病最严重的慢性并发症之一，也是糖尿病患者致残、致死的重要原因。据国外报道，糖尿病患者中约15%有不同程度足溃疡，大约1%的糖尿病患者被截肢。糖尿病足在许多国家已是截肢的首位原因[1]。因此，糖尿病足的预防与护理成了国内外护理研究的焦点问题，其中做好糖尿病高危足的护理是预防足溃疡的发生的重点。血糖的控制情况，合并下肢血管和神经病变是糖尿病足的独立高危因素，针对这些高危因素制定相应的护理措施，进行正确的足部护理对防止糖尿病足的发生有重要的临床意义[2]。我科开展足部护理门诊，针对糖尿病高危足患者