切换至 "中华医学电子期刊资源库"

中华损伤与修复杂志(电子版) ›› 2015, Vol. 10 ›› Issue (05) : 454 -458. doi: 10.3877/cma.j.issn.1673-9450.2015.05.019

所属专题: 经典病例 文献

护理园地

综合护理干预在1151例老年糖尿病足患者中的应用研究
李宝军1,(), 关小宏2, 朱艳兰3, 高歌4, 关泰宇5, 盛薇1, 苏楠1   
  1. 1. 100142 北京,解放军空军总医院干部病房
    2. 100142 北京,解放军空军总医院内分泌科
    3. 230032 安徽蚌埠,解放军94580部队
    4. 100142 北京,解放军空军总医院门诊部
    5. 100029 北京,中国牧工商(集团)总公司
  • 收稿日期:2015-06-15 出版日期:2015-10-01
  • 通信作者: 李宝军
  • 基金资助:
    解放军空军总医院资助项目(kz2008006)

Application research on comprehensive nursing intervention in 1151 cases of elderly diabetic foot patients

Baojun Li1,(), Xiaohong Guan2, Yanlan Zhu3, Ge Gao4, Taiyu Guan5, Wei Sheng1, Nan Su1   

  1. 1. Department of Cadre′s Ward, Air Force General Hospital of People′s Liberation Army, Beijing 100142, China
    2. Department of Endocrinology, Air Force General Hospital of People′s Liberation Army, Beijing 100142, China
    3. 94580 Troops of People′s Liberation Army, Bengbu 230032, China
    4. Department of Out-patient, Air Force General Hospital of People′s Liberation Army, Beijing 100142, China
    5. China Animal Husbandry Group, Beijing 100029, China
  • Received:2015-06-15 Published:2015-10-01
  • Corresponding author: Baojun Li
  • About author:
    Corresponding author: Li Baojun, Email:
引用本文:

李宝军, 关小宏, 朱艳兰, 高歌, 关泰宇, 盛薇, 苏楠. 综合护理干预在1151例老年糖尿病足患者中的应用研究[J/OL]. 中华损伤与修复杂志(电子版), 2015, 10(05): 454-458.

Baojun Li, Xiaohong Guan, Yanlan Zhu, Ge Gao, Taiyu Guan, Wei Sheng, Nan Su. Application research on comprehensive nursing intervention in 1151 cases of elderly diabetic foot patients[J/OL]. Chinese Journal of Injury Repair and Wound Healing(Electronic Edition), 2015, 10(05): 454-458.

目的

探讨综合护理干预用于老年糖尿病足患者的应用效果。

方法

对1151例老年糖尿病足患者进行综合护理干预,包括血糖控制、血压控制、适当运动、预防低血糖、足部护理、饮食护理、健康教育指导、足部创面护理、足部负压创面治疗技术护理、自体干细胞移植护理、下肢介入治疗护理、组织工程皮肤护理、出院健康指导、电话随访等措施。

结果

1151例老年糖尿病足患者,血压、血糖均控制良好,创面均愈合,无低血糖反应发生,1147例痊愈出院,4例好转行门诊换药治愈。

结论

通过综合治疗护理干预可以提高老年糖尿病足患者的治愈率,降低截肢率,提高了糖尿病足患者的生活质量。

Objective

To investigate the application effect of nursing intervention for elderly patients with diabetic foot.

Method

One thousand one hundred and fifty one cases of elderly diabetic foot patients were proceed with comprehensive nursing intervention, including blood glucose control, blood pressure control, appropriate exercise, prevention of hypoglycemia, foot care, diet nursing, health education guidance, the foot wound care, foot negative pressure wound therapy nursing, autologous stem cell transplantation, lower limb interventional treatment hospital nursing, tissue engineering skin care, health guidance, and telephone follow-up measures.

Results

The blood pressure and blood sugar of 1151 cases of elderly diabetic foot patients were controlled well, and the wound was healed. Hypoglycemia reactions were not observed. One thousand one hundred and forty seven cases were restored, and four cases were improved by outpatient treatment.

Conclusions

Comprehensive nursing intervention treatment can improve the cure rate of elderly diabetic foot patients, and decrease the rate of amputation. The elderly diabetic foot patients' quality of life was improved by comprehensive nursing intervention treatment measures.

1
关小宏,李宝军,肖黎,等. 糖尿病足流行病学及糖尿病足截肢(趾)的临床情况分析[J/CD]. 中华损伤与修复杂志:电子版,2012, 7(4): 406-408.
2
Pataki Z, Vischer U. Diabetic foot disease in the elderly[J]. Diabetes Metab, 2007, 33(Suppl 1): S56-S65.
3
Rhim B, Harkless L. Prevention: can we stop problems before they arise[J]. Semin Vasc Sure, 2012, 25(2): 122-128.
4
陈欣. 浅谈难愈性创面的外科治疗[J/CD]. 中华损伤与修复杂志:电子版,2014, 9(1): 9-12.
5
Iraj B, Khorvash F, Ebneshahidi A, et al. Prevention of diabetic foot ulcer[J]. Int Prev Med, 2013, 4(3): 373-376.
6
Rhim B, Harkliss L. Prevention: Can we problems before they arise[J]. Semin vase Surg, 2012, 25(2): 122-128.
7
关小宏,李宝军,盛薇,等. 糖尿病患者周围神经病变的预防与治疗[J]. 河北医药,2013, 35(4): 576-577.
8
Zhang SS, Tang ZY, Fang P, et al. Nutritional status deteriorates as the severity of diabetic foot ulcers increases and independently associates with prognosis[J]. Exp Ther Med, 2013, 5(1): 215-222.
9
Maryam A, Davati A, Piri M. Detemination of the Resistance pattern of prevalent Aerobic Bacterial Infections of DiabeticFoot Ulcer[J]. Iranian Journal of Pathology, 2013, 8(1): 21-26.
10
关小宏,李宝军,杨彩哲,等. 糖尿病足感染的细菌谱变迁与抗感染治疗[J]. 现代中西医结合杂志,2012, 21(10): 1029-1032.
11
关小宏,杨彩哲,吴石白. 糖尿病足感染的特点与治疗[J]. 中华医院感染学杂志,2012, 22(19): 4237-4239.
12
李宝军,关小宏,李宝民,等. 超高龄患者安全用药实用研究[J].中国煤炭工业医学杂志,2014, 17(12): 1905-1907.
13
关小宏,李宝军,杨彩哲,等. 糖尿病足主要感染细菌及抗感染治疗[J]. 河北医药,2013, 35(2): 260-261.
14
关小宏. 糖尿病足发展史[J/CD]. 中华损伤与修复杂志:电子版,2011, 6(4): 509-515.
15
Gregory JA, Jolivalt CG, Goor J, et al. Hypertension-induced peripheral neuropathy and the combined effects of hypertension and diabetes on nerve structure and function in rats[J]. Acta Neuropathologica, 2012, 124(4): 561-573.
16
BinSalleh H, Mujawar QM. Hypertension in severe pediatric diabetic ketoacidosis: Case report and review of literature[J]. Pediatric emergency care, 2013, 29(1): 82-83.
17
Chin YF, Huang TT, Hsu BR. Impact of action cues, self-ef cacy and perceived barriers on daily foot exam practice in type 2 diabetes mellitus patientswith peripheral neuropathy[J]. J Clin Nurs, 2012, 22(1/2): 61-68.
18
关小宏. 糖尿病足病的治疗与预防[J/CD]. 中华损伤与修复杂志:电子版,2015, 10(2): 98-102.
[1] 陈翠萍, 李佩君, 杜景榕, 谢青梅, 许一宁, 卓姝妤, 李晓芳. 互联网联合上门护理在老年全髋关节置换术后的应用效果[J/OL]. 中华关节外科杂志(电子版), 2024, 18(05): 676-681.
[2] 陈晓玲, 钟永洌, 刘巧梨, 李娜, 张志奇, 廖威明, 黄桂武. 超高龄髋膝关节术后谵妄及心血管并发症风险预测[J/OL]. 中华关节外科杂志(电子版), 2024, 18(05): 575-584.
[3] 王杰, 袁泉, 王玥琦, 乔佳君, 谭春丽, 夏仲元, 刘守尧. 溃疡油在糖尿病足溃疡治疗中的应用效果及安全性观察[J/OL]. 中华损伤与修复杂志(电子版), 2024, 19(06): 480-484.
[4] 宋俊锋, 张珍珍. 单侧初发性腹股沟斜疝老年患者经腹腹膜前疝修补术中残余疝囊腹直肌下缘固定效果评估[J/OL]. 中华疝和腹壁外科杂志(电子版), 2024, 18(06): 670-674.
[5] 张晋伟, 董永红, 王家璇. 基于GBD2021 数据库对中国与全球老年人疝疾病负担和健康不平等的分析比较[J/OL]. 中华疝和腹壁外科杂志(电子版), 2024, 18(06): 708-716.
[6] 邵世锋, 肖钦, 沈方龙, 张迅, 郝志鹏, 伍正彬, 谢晓娟, 王耀丽. 老年胸主动脉钝性伤的重症救治分析[J/OL]. 中华肺部疾病杂志(电子版), 2024, 17(05): 762-767.
[7] 赵月, 田坤, 张宗明, 郭震天, 刘立民, 张翀, 刘卓. 降钙素原对老年急性重度胆囊炎发生的预测价值[J/OL]. 中华肝脏外科手术学电子杂志, 2024, 13(06): 801-806.
[8] 张宗明, 董家鸿, 何小东, 王秋生, 徐智, 刘立民, 张翀. 老年胆道外科热点问题的争议与思考[J/OL]. 中华肝脏外科手术学电子杂志, 2024, 13(06): 754-762.
[9] 黄韬, 杨晓华, 薛天森, 肖睿. 改良“蛋壳”技术治疗老年OVCF及对脊柱矢状面平衡参数、预后的影响[J/OL]. 中华老年骨科与康复电子杂志, 2024, 10(06): 340-348.
[10] 王贝贝, 崔振义, 王静, 王晗妍, 吕红芝, 李秀婷. 老年股骨粗隆间骨折患者术后贫血预测模型的构建与验证[J/OL]. 中华老年骨科与康复电子杂志, 2024, 10(06): 355-362.
[11] 房桂彬, 肖进, 傅光涛, 郑秋坚. 老年髋部骨折患者术后1年行走能力的影响因素分析[J/OL]. 中华老年骨科与康复电子杂志, 2024, 10(05): 273-280.
[12] 茹江英, 廖启宇, 温国洪, 潘思华, 刘栋, 张皓琛, 牛云飞. 直接前方入路和后外侧入路半髋关节置换治疗老年痴呆股骨颈骨折的疗效比较[J/OL]. 中华老年骨科与康复电子杂志, 2024, 10(05): 287-293.
[13] 崔健, 夏青, 林云, 李光玲, 李心娜, 王位. 血小板与淋巴细胞比值、免疫球蛋白、心肌酶谱及心电图对中老年肝硬化患者病情及预后的影响[J/OL]. 中华消化病与影像杂志(电子版), 2024, 14(05): 400-406.
[14] 王誉英, 刘世伟, 王睿, 曾娅玲, 涂禧慧, 张蒲蓉. 老年乳腺癌新辅助治疗病理完全缓解的预测因素分析[J/OL]. 中华临床医师杂志(电子版), 2024, 18(07): 641-646.
[15] 周倩妹, 王宪娥, 徐筱, 老慧琳, 赵欣悦, 胡菁颖. 多元化系统护理对老年人群牙周健康指标影响的系统评价[J/OL]. 中华临床医师杂志(电子版), 2024, 18(05): 500-506.
阅读次数
全文


摘要


AI


AI小编
你好!我是《中华医学电子期刊资源库》AI小编,有什么可以帮您的吗?