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

doi:10.3877/cma.j.issn.1673-9450.2015.05.019

Abstract

Abstract:

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.

Key words: Diabetic foot, Elder, Wound healing, Comprehensive nursing intervention

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]. Chinese Journal of Injury Repair and Wound Healing(Electronic Edition), 2015, 10(05): 454-458.

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References 18

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.

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