[1]谢勇琼,高金姣.糖尿病足伤口处理中的护理风险及其相关性研究[J].医学信息,2018,31(13):115-119.[doi:10.3969/j.issn.1006-1959.2018.13.034]
 XIE Yong-qiong,GAO Jin-jiao.Nursing Risk and its Correlation in Wound Management of Diabetic Foot[J].Journal of Medical Information,2018,31(13):115-119.[doi:10.3969/j.issn.1006-1959.2018.13.034]
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糖尿病足伤口处理中的护理风险及其相关性研究()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
31卷
期数:
2018年13期
页码:
115-119
栏目:
调查分析
出版日期:
2018-07-01

文章信息/Info

Title:
Nursing Risk and its Correlation in Wound Management of Diabetic Foot
文章编号:
1006-1959(2018)13-0115-05
作者:
谢勇琼1高金姣2
珠海市第二人民医院外科门诊1,护理部2,广东 珠海 519020
Author(s):
XIE Yong-qiong1GAO Jin-jiao2
Surgical Outpatient1,Department of Nursing2,Zhuhai Second People’s Hospital,Zhuhai 519020,Guangdong,China
关键词:
糖尿病足伤口护理风险
Keywords:
Key words:Diabetic footWoundNursing risk
分类号:
R587.1;R473.5
DOI:
10.3969/j.issn.1006-1959.2018.13.034
文献标志码:
A
摘要:
目的 探讨影响糖尿病足伤口处理中护理风险的相关因素,为降低护理风险所采取的护理措施提供理论依据。方法 采用自行设计的一般资料调查表、护理风险表对在本院门诊就诊的79例2型糖尿病足患者进行问卷调查,并分析影响糖尿病足伤口处理中护理风险的相关因素。结果 护理差错缺陷率为0.62%,愈合率为88.61%,满意度为93.67%。患者年龄、文化程度、糖尿病治疗情况、对糖尿病足认识程度、就诊情况及伤口治疗情况与护理差错缺陷率、伤口愈合情况和满意度有相关性(P<0.05);吸烟与伤口愈合情况有相关性(P<0.05);并发糖尿病其它并发症与护理差错缺陷率有相关性(P<0.05)。结论 年龄越大、文化程度越低、不坚持糖尿病治疗、对糖尿病足认识模糊、有伤口不及时就诊和不坚持伤口治疗、吸烟及并发糖尿病其它并发症的糖尿病足患者护理风险高,在制定护理风险管理措施时,应根据患者具体情况,规避不利因素,以降低护理差错缺陷率、提高治愈率及患者的满意度。
Abstract:
Abstract:Objective To explore the related factors affecting nursing risk in diabetic foot wound management and to provide theoretical basis for nursing measures to reduce nursing risk.Methods 79 patients with type 2 diabetic foot were investigated with self-designed general information questionnaire and nursing risk table,and the related factors affecting nursing risk in wound management of diabetic foot were analyzed.Results The nursing error defect rate was 0.62%,the healing rate was 88.61%,and the satisfaction rate was 93.67%.The patients’age,education,diabetes treatment,recognition of diabetic foot,treatment and wound treatment were correlated with the rate of nursing error defect, wound healing and satisfaction(P<0.05).There was a correlation between smoking and wound healing(P<0.05),other complications associated with diabetes mellitus and the rate of nursing errors(P<0.05).Conclusion The older the age,the lower the level of education,the lack of adherence to diabetes treatment,the vague understanding of diabetic foot, the lack of timely treatment of wounds,and the persistence of wound treatment,smoking,and other complications of diabetes,are associated with high risk of care.When managing measures,the adverse factors should be avoided according to the specific conditions of the patients,so as to reduce the rate of nursing error defects,improve the cure rate and patient satisfaction.

参考文献/References:

[1]郝改凤,王团娥.糖尿病发病率相关因素调查分析及护理干预[J].齐鲁护理杂志,2014,20(21):37-38. [2]徐波,杨彩哲,刘朝阳,等.糖尿病足感染患者病原菌分布及其药物敏感试验[J].中华传染病杂志,2016,34(6):344-348. [3]潘习,白姣姣,赵钺.高龄难愈糖尿病足溃疡患者1例居家护理[J].上海护理,2014,14(2):79-81. [4]王晨.维持性血液透析患者护理风险分析及护理管理对策[J].中国实用护理杂志,2014,30(3):8-10. [5]罗永斌,赖卉.浅析糖尿病足诊疗[J].航空航天医学杂志,2017,28(12):1504-1507. [6]付向阳,郭春兰.慢性伤口处理中的风险管理[J].护理学报,2010,17(12A):37-39. [7]邓海松,卢才教,何小兰,等.细节管理在老年糖尿病足围手术期护理中的应用[J].实用医学杂志,2014,30(14):2321-2323. [8]仲剑平.医疗护理技术操作规范[M].第4版.北京:人民军医出版社,2002:11-13. [9]李宝军,关小宏,朱艳兰,等.综合护理干预在1151例老年糖尿病足患者中的应用研究[J].中华损伤与修复杂志,2015,10(5):74-78. [10]甘秋嫦,莫文娟.知信行模式在老年糖尿病足患者中的应用[J].中华现代护理杂志,2014,20(22):2746-2749. [11]王纪文,朱宁.老年人的双心问题与处理[J].医学与哲学,2017,38(3B):22-24. [12]胡欢欢,喻思红,张华君.慢性阻塞性肺疾病患者康复锻炼依从性影响因素及对策[J].现代临床护理,2015,14(4):68-72. [13]张苍,曾咏梅,刘可.糖尿病足患者就诊延迟现状及其影响因素分析[J].中华护理杂志,2016,51(5):567-572. [14]于蓉,李新辉,范玲.再住院糖尿病病人治疗依从性现状与影响因素分析[J].护理实践与研究,2014,11(6):91-93. [15]谢勇琼,严悦颜,陈莉.2型糖尿病患者伤口处理依从性及影响因素的研究[J].护理学报,2017,24(17):56-59. [16]翁霞玲,李志浩,黄翠英,等.2型糖尿病患者糖尿病足相关危险因素分析[J].护士进修杂志,2014,29(6):522-525. [17]陈玮端,唐福萍.吸烟对糖尿病外伤患者伤口愈合的影响[J].齐鲁护理杂志,2014,20(10):82-83.

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更新日期/Last Update: 2018-07-01