封闭负压引流术治疗糖尿病足感染的个性化护理探究

夏范蕾

[摘要] 目的 探究封閉负压引流术治疗糖尿病足感染的护理策略，着重分析个性化护理的成效。方法 选取2016年8月—2018年8月两年间来该院治疗糖尿病足感染的患者50例作为研究对象，按照护理方式不同随机分为观察组（个性化护理）和对照组（常规护理），各25例，比较两组患者治疗前后的心理状态、血糖变化以及对护理之后的满意情况。 结果 在心理状态比较中，治疗前所有患者都产生了一定的焦虑与抑郁，经过护理工作之后，两组患者的心理问题都明显有了改善，同时采用个性化护理的观察组患者评分下降程度更大，差异有统计学意义（P<0.05）。在血糖比较中，治疗之后对照组显示为（7.8±2.2）mmol/L，观察组更低为（6.7±2.3）mmol/L，组间对比差异有统计学意义（P<0.05）。在护理满意度上，观察组的满意度为92%，明显高于对照组的76%，差异有统计学意义（P<0.05）。 结论 在应用封闭负压引流术治疗糖尿病足感染患者的过程中结合个性化护理，能有效改善患者的心理状态，提高患者的护理满意度，同时可以使患者的血糖得到控制，具有临床应用价值。

[关键词] 封闭负压引流术;糖尿病足感染;个性化护理

[中图分类号] R47          [文献标识码] A          [文章编号] 1672-4062（2020）05（b）-0166-03

Study on Personalized Nursing of Closed Negative Pressure Drainage for Diabetic Foot Infection

XIA Fan-lei

Laiwu Central Hospital of Xinwen Mining Group， Laiwu， Shandong Province， 271103 China

[Abstract] Objective To explore the nursing strategy of closed negative pressure drainage for the treatment of diabetic foot infection， and to analyze the effectiveness of personalized nursing. Methods Fifty patients who had been treated for diabetic foot infection in the hospital from August 2016 to August 2018 were selected as research objects， and randomly divided into observation group （personalized care） and control group （routine care） according to different nursing methods. For each of the 25 patients， the psychological status， blood glucose changes， and satisfaction with care were compared between the two groups. Results In the comparison of mental state， all patients had some anxiety and depression before treatment. After the nursing work， the psychological problems of the two groups of patients were significantly improved. At the same time， the scores of patients in the observation group who adopted personalized nursing decreased. The difference was statistically significant （P<0.05）. In the comparison of blood glucose， the control group showed （7.8±2.2） mmol/L after treatment， and the observation group was even lower （6.7±2.3） mmol/L， and the comparison between groups was statistically significant（P<0.05）. In terms of nursing satisfaction， the satisfaction of the observation group was 92%， which was significantly higher than 76% of the control group， and the difference was statistically significant （P<0.05）. Conclusion The application of closed negative pressure drainage in the treatment of patients with diabetic foot infection combined with personalized nursing can effectively improve the patient's psychological state， improve the patient's nursing satisfaction， and can control the patient's blood glucose， which has clinical application value.

[Key words] Closed negative pressure drainage; Diabetic foot infection; Personalized nursing

糖尿病足部感染属于糖尿病发展到后期的一种严重病症，其指的是由于神经病变而导致的下肢保护功能减退，并引起了为循坏障碍，导致足部出现溃疡和坏疽的问题，甚至可能引起患者死亡，当前临床医学常常采用封闭负压引流术进行治疗，效果也比较明显。然而由于糖尿病患者本身就要经历长时间的病痛折磨，足部感染之后更是让身心饱受煎熬，患者治疗经济压力较大。因此除了必要的治疗过程之外，对患者施以一定的临床护理措施能有效缓解患者内心的恐惧或焦虑，从而让整个治疗过程顺利进行。选取2016年8月—2018年8月两年间来该院治疗糖尿病足感染的患者，以确定个性化护理的临床疗效进行分析，更好地归纳护理的内容以及有效措施，为患者的病情改善提供支持，现报道如下。……