探讨重度糖尿病足行截肢术患者开展综合护理干预临床效果.docVIP

探讨重度糖尿病足行截肢术患者开展综合护理干预临床效果 　　[摘要] 目的 研究分析糖尿病足截肢患者的临床护理方式，对综合护理干预的效果进行探讨。 方法 根据2014年8月―2016年8月该院收治的34例糖尿病足截肢患者来分析研究，将患者分成对照组和观察组，均有17例，对照组使用传统的护理方式，观察组除了传统护理还增加了综合护理干预。 结果 该研究对患者的心理和疼痛情况进行了评估分析，对照组患者的SAS和SDS评分平均是（46.79±12.88）分和（50.02±10.85）分，观察组是（39.98±8.12）分和（43.92±9.92）分，2项评分两组差异有统计学意义（P0.05）。两组的0、I、II级疼痛患者数量差异无统计学意义，III级疼痛差异有统计学意义（P0.05）。 结论 重度糖尿病足患者接受截肢手术治疗后需要进行综合护理干预，能够改善患者的预后效果，临床可以推广使用。 　　[关键词] 糖尿病足；截肢；综合护理 　　[中图分类号] R473.6 [文献标识码] A [文章编号] 1672-4062（2017）08（b）-0097-02 　　Study on Clinical Effect of Comprehensive Nursing Intervention in Severe Diabetic Foot Patients Treated with Amputation 　　QU Qing-hong 　　ICU， Daqing Fourth Hospital， Daqing， Heilongjiang Province， 163712 China 　　[Abstract] Objective To research and analyze the clinical nursing method of patients with diabetic foot amuputation and study the effect of comprehensive nursing intervention. Methods 34 cases of patients with diabetic foot amputation in our hospital from August 2014 to August 2016 were selected and divided into two groups with 17 cases in each， the control group adopted the traditional nursing method， while the observation group added the comprehensive nursing intervention on the basis of the traditional nursing. Results The mental and pains conditions of patients were evaluated and analyzed， and the average scores of SAS and SDS scores in the control group and in the observation group were respectively （46.79±12.88）points， （50.02±10.85）points and （39.98±8.12）points， （43.92±9.92）points， and the differences were statistically significant（P0.05）， and the differences in the numbers of pain patients in 0， I level and II level between groups were statistically significant（P0.05）. Conclusion The severe diabetic foot patients need the comprehensive nursing intervention after the amputation， which can improve the prognosis of patients， and it can be promoted and applied in clinic. 　　[Key words] Diabetic foot； Amputation； Comprehensive nursing 　　糖尿病足是糖尿病的高?l并发症之一，糖尿病足是因为足部神经病变所致，导致了下