CAJ | 학술논문

目的探讨经股动脉持续溶栓治疗糖尿病足患者的围手术期护理要点.方法对2006年2月至2011年8月收治的78例糖尿病足患者采用经股动脉持续输注尿激酶治疗,术前进行心理护理、教育干预、物品准备,建立“糖尿病足持续溶栓护理观察与评估指标”,采取动态评价.结果 78例糖尿病足溃疡全部愈合,无一例发生出血、感染等严重并发症.结论围手术期专业的心理、教育干预,充分的物品准备为确保疗效奠定了基础,“护理观察与评估指标”的建立与应用可有效减少术后不良事件发生,促进溃疡面愈合,是溶栓治疗成功的关键.
목적 탐토경고동맥지속용전치료당뇨병족환자적위수술기호리요점.방법 대2006년2월지2011년8월수치적78례당뇨병족환자채용경고동맥지속수주뇨격매치료,술전진행심리호리、교육간예、물품준비,건립“당뇨병족지속용전호리관찰여평고지표”,채취동태평개.결과 78례당뇨병족궤양전부유합,무일례발생출혈、감염등엄중병발증.결론 위수술기전업적심리、교육간예,충분적물품준비위학보료효전정료기출,“호리관찰여평고지표”적건립여응용가유효감소술후불량사건발생,촉진궤양면유합,시용전치료성공적관건.
Objective To investigate the points of perioperative nursing of patients with diabetic foot ulcers (DFUs)treated with continuous thrombolysis.Methods A total of 78 cases of DFUs patients treated with continuous infusion of urokinase through femoral artery from February 2006 to August 2011 were recruited into the study.Besides,psychological care,education guidance,and materials preparation were given to them before the operation.Meanwhile,a module of “Nursing observation and assessment indicators to DFUs treated with interventional thrombolysis” was set up and used to give a dynamic evaluation.Results Foot ulcers of all the subjects were healed,and no case occurred serious complications such as bleeding or infection and so on.Conclusions Our results indicate that professional psychological care,education guidance,and fully materials preparation in perioperative period lay the foundation of clinical efficacy.The establishment and application of “Nursing observation and assessment indicators to DFUs treated with interventional thrombolysis” is the key to the success of thrombolytic therapy because it can effectively reduce postoperative adverse events and promote ulcer healing.