整体护理干预对糖尿病足患者疗效观察.docVIP

整体护理干预对糖尿病足患者疗效观察 　　[摘要] 目的 探讨整体护理干预对糖尿病足患者的疗效。 方法 选择72例糖尿病足患者，随机分为整体护理组和常规护理组。两组患者均采用常规的饮食、锻炼控制、胰岛素控制血糖，同时予以抗感染、局部换药、改善循环、营养神经等常规内科治疗。常规护理组在此基础上予以常规的内分泌科护理。整体护理组在此基础上予以整体护理干预，两组干预疗程均为4周。观察并比较两组患者干预治疗4周后的临床疗效及护理效果。 结果 治疗干预4周后，整体护理组患者的临床总有效率明显优于常规护理组（χ2=4.18，P 　　[关键词] 整体护理；糖尿病足 　　[中图分类号] R473.5 [文献标识码] B [文章编号] 1673-9701（2013）32-0124-02 　　Curative effect observation of holistic nursing on diabetic foot 　　CAO Xiuying1 WANG Jun2 　　1.Department of Medicine， Tiantai County People’s Hospital in Zhejiang Province， Tiantai 317200， China； 2.Endocrinology Department， the First People’s Hospital of Linhai in Zhejiang Province， Linhai 317100， China 　　[Abstract] Objective To discuss curative effect observation of holistic nursing on diabetic foot. Methods All 72 cases of diabetes were selected and divided into holistic nursing group and routine nursing group at random. The patients in two groups were given routine dining， exercise control and the control of blood sugar by insulin， and routine medical treatment， such as anti-infection， local medicine change， circulation improvement， nerve nutrition and etc. The patients in routine nursing group were given routine endocrine nursing for 4 weeks， while the patients in holistic group were given additionally holistic nursing for 4 weeks. After 4 week’ intervention treatment， curative effect and nursing effect were observed and compared. Results After 4 weeks’ intervention treatment， the total clinical efficiency of patients in holistic group was much higher than that in routine nursing group （χ2=4.18， P0.05），具有可比性。本研究方案经我院伦理委员会批准通过，纳入研究前均签署知情同意书。 　　1.2 治疗方法 　　两组患者均采用常规的饮食、锻炼控制、胰岛素控制血糖，同时予以抗感染、局部换药、改善循环、营养神经等常规内科治疗。常规护理组在此基础上予以常规的内分泌科护???。整体护理组在此基础上予以整体护理干预，包括：①一般护理：监测患者生命体征，包括：血压、血糖、呼吸、心率等，嘱咐患者按时服用药物及使用胰岛素；②饮食护理：合理控制饮食，做到定时、定量，禁食甜食、辛辣、油腻食物，多进食优质蛋白食物，有利于伤口的恢复，宜进食富含维生素、纤维素及易消化食物；③足部护理：嘱患者每天采用下肢抬高-放平-下垂交替训练方式改善下肢血液循环，以10次交替为1组，每天3～5组。每晚采用37℃左右温水泡脚，如患者有足部皮肤破溃则采用1∶5 000高锰酸钾溶液浸泡30 min左右，浸泡后擦干并使用无菌纱布覆盖溃疡，每天使用频谱治疗仪照射治疗30 min，如溃疡处有脓液