糖尿病患者足部护理的现状及的影响因素调查分析.docVIP

糖尿病患者足部护理的现状及的影响因素调查分析 　　[摘要] 目的 调查和分析糖尿病患者足部护理现状及影响因素，提高护理质量，以供参考。 方法 选取2013年3月～2014年8月之间本院所接收的130例2型糖尿病患者作为调查对象，排除精神疾病。本次研究采用自制的糖尿病患者足部护理现状以及糖尿病患者足部护理的影响因素调查表进行调查。 结果 糖尿病患者足部护理的相关项目全部在8分以上；性别差异不是足部护理的影响因素；更大的年龄和更长的患病时程属于正性的影响因素，但是总的来看，足部护理还是属于负性的影响因素；更高的文化程度和脑力劳动属于正性的影响因素。 结论 总的来说，要综合考虑患者的具体情况，一方面要加强个性化健康教育的实施，增强患者对糖尿病足相关知识的了解程度，另一方面要加强个性化护理方案的制定，尽量降低相关负面因素对护理质量的影响。 　　[关键词] 糖尿病；足部护理；现状影响因素；调查分析 　　[中图分类号] R587.1 [文献标识码] A [文章编号] 2095-0616（2017）15-94-04 　　[Abstract] Objective To investigate and analyze the present situation and influencing factors of foot care for diabetic patients， and to provide reference for improving nursing quality. Methods 130 patients with type 2 diabetes from March 2013 to August 2014 in our hospital were selected as the research object，all 130 patients had no mental disease.This study used the homemade survey questionnaire of the present situation and influencing factors of foot care. Results All the related projects of diabetic foot care were above 8 points.Gender differences were not a factor in foot care.The greater age and the longer duration were the positive influence factors of foot care，but overall，foot care was a negative factor.Higher education and mental work were factors of positive influence. Conclusion Overall，the patients specific situation should be taken into consideration.On the one hand，we should strengthen the implementation of personalized health education，and enhance the understanding of patients knowledge of diabetic foot.On the other hand，we should strengthen the formulation of individualized care plan and minimize the impact of negative factors on nursing quality. 　　[Key words] Diabetes mellitus；Foot care；Current situation influencing factors；Investigation and analysis 　　由于胰岛素作用发生障碍或者胰岛素的分泌缺陷所导致的以血糖的升高为主要特征的一种代谢性的疾病称为糖尿病[1]。连续的长期性代谢功能紊乱和高血糖等症状可以导致糖尿病的衰竭和功能障碍以及肾脏、神经系统、眼睛和心血管系统等全身性的组织器官发生严重的损伤。糖尿病十分严重的患者可能会导致糖尿病患者体内的电解质的紊乱、失水和酸碱平衡的失调等症状，糖尿病的急性的并发症包括高渗昏迷和酮症酸中毒等症状[2]。糖尿病的一种极其严重的并发症就是糖尿病足，糖尿病足指的是在糖尿病的影响下，周围神经病变与外周