强化护理措施对老年糖尿病合并皮肤病溃疡患者的临床干预效果观察
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摘要
目的探讨强化护理措施对老年糖尿病合并皮肤病溃疡患者的临床干预效果。方法选取山东省郓城县人民医院2017年1月至2018年1月收治的糖尿病伴皮肤溃疡患者86例,根据不同护理方法分为两组,对照组(n=43)给予常规护理,观察组(n=43)在对照组基础上给予强化护理,对比两组患者临床疗效和治疗前后溃疡愈合率、创面皮肤动脉血氧张力以及溃疡完全愈合时间。结果两组患者临床疗效95.35%vs69.77%对比差异明显(P<0.05)。两组患者治疗后7 d、14 d、28 d溃疡愈合率对比差异明显(P<0.05)。两组患者治疗后7 d、14 d创面皮肤动脉血氧张力对比差异明显(P<0.05)。观察组患者溃疡完全愈合时间明显短于对照组,差异具有统计学意义(P<0.05)。结论在常规治疗的基础上给予强化护理能有效促进皮肤溃疡创面愈合,因此值得临床推广。
Objective To explore the effect of intensive nursing intervention on elderly patients with diabetes mellitus complicated with skin ulcer.Methods86 patients with diabetes mellitus and skin ulcer admitted to Yuncheng County People's Hospital of Shandong Province from January 2017 to January 2018 were divided into two groups according to different nursing methods.The control group(n=43) was given routine nursing,while the observation group(n=43)was given intensive nursing on the basis of the control group.The clinical efficacy,ulcer healing rate before and after treatment,skin arterial oxygen tension were compared between the two groups.And the healing time of the ulcer.Results The clinical efficacy of the two groups was 95.35% vs 69.77%(P <0.05).The healing rate of ulcer was significantly different between the two groups on the 7 th,14 th and 28 th day after treatment(P<0.05).There was a significant difference in the oxygen tension of cutaneous artery between the two groups on the 7 th and 14 th day after treatment(P <0.05).The healing time of ulcer in the observation group was significantly shorter than that in the control group(P<0.05).Conclusion On the basis of routine treatment,intensive nursing can effectively promote the healing of skin ulcer wounds,so it is worthy of clinical promotion.
Objective To explore the effect of intensive nursing intervention on elderly patients with diabetes mellitus complicated with skin ulcer.Methods86 patients with diabetes mellitus and skin ulcer admitted to Yuncheng County People's Hospital of Shandong Province from January 2017 to January 2018 were divided into two groups according to different nursing methods.The control group(n=43) was given routine nursing,while the observation group(n=43)was given intensive nursing on the basis of the control group.The clinical efficacy,ulcer healing rate before and after treatment,skin arterial oxygen tension were compared between the two groups.And the healing time of the ulcer.Results The clinical efficacy of the two groups was 95.35% vs 69.77%(P <0.05).The healing rate of ulcer was significantly different between the two groups on the 7 th,14 th and 28 th day after treatment(P<0.05).There was a significant difference in the oxygen tension of cutaneous artery between the two groups on the 7 th and 14 th day after treatment(P <0.05).The healing time of ulcer in the observation group was significantly shorter than that in the control group(P<0.05).Conclusion On the basis of routine treatment,intensive nursing can effectively promote the healing of skin ulcer wounds,so it is worthy of clinical promotion.
引文
[1]张言,王玉芹,王娟,王亚楠.下肢静脉曲张伴溃疡病人的护理研究[J].全科护理,2018,16(33):4127-4130.
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[7]秦玲,高俊香,於丽红,等.授权教育对糖尿病足高危病人足部自护行为影响的研究[J].全科护理,2018,16(30):3755-3758.
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[10]王云.监测足部皮肤温度预测糖尿病足溃疡的价值分析[J].安徽医药,2018,22(11):2203-2205.
[11]杨婵娟,眭建,朱竹清.COX健康行为互动模式在老年糖尿病足病人护理中的应用[J].护理研究,2018,32(18):2952-2955.
[12]易靖.综合性护理干预对糖尿病足的护理效果分析[J].临床研究,2018,26(10):195-196.
[13]赵亚南.护理干预对糖尿病并发皮肤感染的护理效果[J].皮肤病与性病,2018,40(4):609-610.
[2]齐梦影,田刻平,严谨,等.糖尿病足早期预防干预措施的研究进展[J].解放军护理杂志,2018,35(23):42-46.
[3]高宁,郭海玲,寇嘉靓,等.糖尿病足部溃疡循证实践指南的质量评价及内容分析[J].护理学杂志,2018,33(23):29-32.
[4]黄锐娜,黄锐佳,牛彩丽,等.银离子敷料治疗糖尿病足溃疡疗效的Meta分析[J].中国组织工程研究,2019,23(2):323-328.
[5]刘建会.中医护理对糖尿病足溃疡患者的影响[J].糖尿病新世界,2018,21(23):113-114.
[6]陈文秀,仇海燕.糖尿病足评估工具的研究进展[J].护理研究,2018,32(21):3367-3369.
[7]秦玲,高俊香,於丽红,等.授权教育对糖尿病足高危病人足部自护行为影响的研究[J].全科护理,2018,16(30):3755-3758.
[8]黄清云.糖尿病足分级护理在老年病房中的应用效果[J].糖尿病新世界,2018,21(21):135-136.
[9]吴春梅,金莹,白雪.综合护理对糖尿病足溃疡面修复相关因子的影响分析[J].当代医学,2018,24(27):60-63.
[10]王云.监测足部皮肤温度预测糖尿病足溃疡的价值分析[J].安徽医药,2018,22(11):2203-2205.
[11]杨婵娟,眭建,朱竹清.COX健康行为互动模式在老年糖尿病足病人护理中的应用[J].护理研究,2018,32(18):2952-2955.
[12]易靖.综合性护理干预对糖尿病足的护理效果分析[J].临床研究,2018,26(10):195-196.
[13]赵亚南.护理干预对糖尿病并发皮肤感染的护理效果[J].皮肤病与性病,2018,40(4):609-610.