关于糖尿病肾病血透患者足部评估及护理研究.docVIP

关于糖尿病肾病血透患者足部评估及护理研究 　　[摘要] 目的 探索对糖尿病肾病血透患者足部的评估方法以及护理现状。 方法 选取2016年2―12月在该院进行血液透析治疗的糖尿病肾病患者60例，采用测量踝-臂指数和触摸动脉脉搏对足部血管病变情况 进行评价，采用自拟的调查问卷收集患者是否接受过糖尿病关于足部护理健康指导和足部自我护理能力等相关信息并评价。 结果 43.33%的患者存在足部动脉搏动异常情况，仅48.33%的患者无足部血管病变，30.00%的患者接受过关于糖尿病的健康教育，但未形成系统的学习。 结论 糖尿病肾病血透患者不具备较好的足部护理行为，相关的知识普及和教育力度较弱，需要医务工作者加强宣传力度，加大教育普及，促进糖尿病肾病血透患者足部护理水平。 　　[关键词] 糖尿病肾病；血液透析；护理研究 　　[中图分类号] R473.5 [文献标识码] A [文章编号] 1672-4062（2017）04（a）-0001-02 　　[Abstract] Objective To explore the foot evaluation and nursing of patients with diabetic nephropathies hemodialysis. Methods 60 cases of patients with diabetic nephropathies admitted and treated in our hospital from February to December 2016 were selected and the foot vascular lesion was evaluated by measuring the ankle brachial index and toughing the arterial pulse， and the related information of foot nursing health guidance and foot self-nursing ability was evaluated by the self-made questionnaire. Results The abnormal arterial pulsation of foot occurred to 43.33 percent of patients， only 48.33 percent of patients had no foot vascular disease， and 30.00 percent of patients received the diabetic health education but did not form the systematic learning. Conclusion The patients with diabetic nephropathies hemodialysis are not equipped with the better foot nursing behavior， and the related knowledge popularity and education force are weak， and the medical staff should enhance the publicity force， increase the education publicity and promote the foot nursing level of diabetic nephropathies hemodialysis. 　　[Key words] Diabetic nephropathies； Hemodialysis； Nursing research 　　?S着生活水平的不断提高，饮食习惯和生活作息的不断改变，慢性代谢性疾病发病率逐年升高，糖尿病与高血压、高血脂的发病率均逐年提高，且发病年龄出现年轻化的趋势[1]。糖尿病在临床上存在多种并发症，其中糖尿病足部病变发病率较高。临床研究表明，糖尿病期间出现足部病变可明显增高患者致残率和致死率。糖尿病肾病终末期肾衰竭患者需要进行血透治疗，此时病程已经较长，患者多伴有多种并发症，患者好发糖尿病足[2]。为评估糖尿病肾病血透患者的足部病变情况，选取60例2016年2―12月在该院进行血液透析治疗的糖尿病肾病患者对相关情况进行评估调查，结果显示多数患者出现不同程度的足部病变，相关健康教育普及度较差，患者足部护理能力不高，护理质量较低，现报道如下。 　　1 资料与方法 　　1.1 一般资料 　　选取2016年2―12月在该院进行血液透析治疗的糖尿病肾病患者6