摘要
目的 探讨糖尿病足溃疡患者的综合护理干预策略及成效。方法 依据在本院2023年8月至2024年8月期间在本院进行治疗的患者62例做对照研究,所有样本均属于糖尿病足溃疡患者,采取随机数字表法将患者分为各组31例,其中一组为对照组,实施常规护理,另一组为观察组,实施综合护理干预,以此比较两组患者经不同的护理干预下创面愈合时间、住院时长、生活质量评分、血糖控制水平与护理满意度。结果 观察组的创面恢复时间与住院时长均显著更短,表示综合护理干预能够有效缩短患者的康复进程(P<0.05);在生活质量评分方面,采取综合护理干预的观察组数据显著更高(P<0.05);比较两组不同护理干预下的血糖控制水平,发现观察组的空腹血糖和餐后2小时血糖均更接近正常范围(P<0.05);观察组对护理人员的专业性和服务质量更满意(P<0.05)。结论 综合护理干预对于糖尿病足溃疡患者而言具有较高的价值,能够有效促进患者的创面愈合,缩短住院时长,改善患者的血糖水平,提高患者满意度和生活质量,值得临床推广。
关键词: 糖尿病足溃疡患者;综合护理;血糖控制;生活质量;护理对比
Abstract
Objective To explore comprehensive nursing intervention strategies and their efficacy for patients with diabetic foot ulcer. Methods A controlled study was conducted on 62 patients treated in our hospital from August 2023 to August 2024. All samples were diabetic foot ulcer patients. Patients were randomly divided into two groups using a random number table: one group (control group) received routine nursing care, while the other group (observation group) received comprehensive nursing intervention. The two groups were compared in terms of wound healing time, length of hospital stay, quality of life score, blood glucose control level, and nursing satisfaction. Results The observation group showed shorter wound healing time and shorter length of hospital stay, indicating that comprehensive nursing intervention could effectively shorten the recovery period (P<0.05). In terms of quality of life score, the observation group receiving comprehensive nursing intervention achieved significantly higher scores (P<0.05). Comparing the blood glucose control levels under different nursing interventions, the observation group exhibited fasting blood glucose and 2-hour postprandial blood glucose levels closer to the normal range (P<0.05). The observation group also showed greater satisfaction with the professionalism and service quality of nursing staff (P<0.05). Conclusion Comprehensive nursing intervention holds significant value for patients with diabetic foot ulcer, effectively promoting wound healing, shortening hospital stay, improving blood glucose levels, and enhancing patient satisfaction and quality of life. It is worthy of clinical promotion.
Key words: Diabetic foot ulcer patients; Comprehensive nursing; Blood glucose control; Quality of life; Nursing comparison
参考文献 References
[1] 杨艳,杨舒,唐洁.综合护理对糖尿病足患者足部情况及生活质量的影响[J].糖尿病新世界,2025,28(20):121-124.
[2] 张兰华,郭飞舟,高小慧,陈琳燕.综合护理干预对老年重症糖尿病足伤口护理质量的积极影响[J].糖尿病新世界, 2025,28(13):137-140.
[3] 冯晓琳.综合护理干预对糖尿病足的临床护理效果[J].实用手外科杂志,2025,39(01):119-121.
[4] 刘莉,阮剑敏,李永洁,刘兴州,李小梅.1例糖尿病足行大截肢术后残端伤口愈合困难患者的护理[J].当代护士(上旬刊),2025,32(03):95-98.
[5] 刘茜.综合护理干预对改善老年重症糖尿病足伤口护理质量的影响[J].中国冶金工业医学杂志,2024,41(05): 591-593.
[6] 韦静,姜莉,刘培珍.综合护理对糖尿病足术后的康复作用及生活质量影响的临床研究[J].糖尿病新世界,2024, 27(06):120-124.
[7] 陈环环,唐莉莉,刘倩倩,朱蓓蓓.中医综合护理联合下肢非负重运动在糖尿病足溃疡病人中的应用[J].循证护理,2024,10(02):287-290.
[8] 赵海燕,李霞,朱芳.基于老年综合评估的护理干预对老年糖尿病足患者血糖控制、创面愈合的影响[J].糖尿病新世界,2024,27(01):128-131.