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(x2=4.18,P<0.05);且整体护理组患者的护理满意度、服药情况、饮食管理、锻炼情况、情绪控制、疾病认知等情况均明显优于常规护理组(x2=4.13、4.57、4.74、5.14、4.60、4.55,P<0.05).结论 采用整体护理干预治疗糖尿病足具有护理效果高、满意度高、治疗效果佳等优点.
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 pa- tients in routine nursing group were given routine endocrine nursing for 4 weeks, while the patients in holistic group were given additionally holistie 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 pa- tients in holistic group was much higher than that in routine nursing group (X2=4.18, P〈0.05), and the nursing satisfac- tory rate, medicine taking, dining control, exercise, emotional control, reorganization of disease and etc were much bet- ter than those in routine nursing group (X2=4.13, 4.57, 4.74, 5.14, 4.60, 4.55, P〈0.05). Conclusion The holistic nurs- ing intervention have following advantages on diabetic foot have favorable nursing effect, high satisfaction, pretty good curative effect and etc.