国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2014年
14期
2207-2210
,共4页
糖尿病足%社区筛查%分级管理%应用
糖尿病足%社區篩查%分級管理%應用
당뇨병족%사구사사%분급관리%응용
Diabetic foot%Community screening%Hierarchical management%Application
目的 通过对糖尿病足的筛查,早期发现糖尿病足的危险因素,针对病因及时采取针对性的措施,减少糖尿病足的发生.方法 依据糖尿病足的诊断标准和预防策略这两根主线,再结合查阅文献资料设计糖尿病足的筛查表.对长安社区纳入管理的358例糖尿病患者进行糖尿病足的筛查,再根据危险级别随机分成对照组和观察组,每组179例,分别对两组实行为期1年的随访观察,对照组实行常规的管理,观察组根据糖尿病足的危险级别实行分级管理.结果 筛查结果:①本研究中有277例患者存在糖尿病足的危险因素,占77.4％,其中183例存在多个危险因素,94例存在单个危险因素.②高危足51例,中危足77例,低危足149例,正常足81例.观察组干预前后比较,差异均有统计学意义(P＜0.01);对照组干预前后糖尿病足(高、中、低危足)的发生率比较,差异无统计学意义(P＞0.05).足部相关知识及足部护理技能比较,差异有统计学意义(P＜0.05).结论 糖尿病患者发生糖尿病足的危险性高,需加强糖尿病足的社区筛查,根据危险等级进行相应的管理,预防糖尿病足的发生.糖尿病足筛查表在临床运用中操作简单、方便、经济、适用,值得在临床推广.
目的 通過對糖尿病足的篩查,早期髮現糖尿病足的危險因素,針對病因及時採取針對性的措施,減少糖尿病足的髮生.方法 依據糖尿病足的診斷標準和預防策略這兩根主線,再結閤查閱文獻資料設計糖尿病足的篩查錶.對長安社區納入管理的358例糖尿病患者進行糖尿病足的篩查,再根據危險級彆隨機分成對照組和觀察組,每組179例,分彆對兩組實行為期1年的隨訪觀察,對照組實行常規的管理,觀察組根據糖尿病足的危險級彆實行分級管理.結果 篩查結果:①本研究中有277例患者存在糖尿病足的危險因素,佔77.4％,其中183例存在多箇危險因素,94例存在單箇危險因素.②高危足51例,中危足77例,低危足149例,正常足81例.觀察組榦預前後比較,差異均有統計學意義(P＜0.01);對照組榦預前後糖尿病足(高、中、低危足)的髮生率比較,差異無統計學意義(P＞0.05).足部相關知識及足部護理技能比較,差異有統計學意義(P＜0.05).結論 糖尿病患者髮生糖尿病足的危險性高,需加彊糖尿病足的社區篩查,根據危險等級進行相應的管理,預防糖尿病足的髮生.糖尿病足篩查錶在臨床運用中操作簡單、方便、經濟、適用,值得在臨床推廣.
목적 통과대당뇨병족적사사,조기발현당뇨병족적위험인소,침대병인급시채취침대성적조시,감소당뇨병족적발생.방법 의거당뇨병족적진단표준화예방책략저량근주선,재결합사열문헌자료설계당뇨병족적사사표.대장안사구납입관리적358례당뇨병환자진행당뇨병족적사사,재근거위험급별수궤분성대조조화관찰조,매조179례,분별대량조실행위기1년적수방관찰,대조조실행상규적관리,관찰조근거당뇨병족적위험급별실행분급관리.결과 사사결과:①본연구중유277례환자존재당뇨병족적위험인소,점77.4％,기중183례존재다개위험인소,94례존재단개위험인소.②고위족51례,중위족77례,저위족149례,정상족81례.관찰조간예전후비교,차이균유통계학의의(P＜0.01);대조조간예전후당뇨병족(고、중、저위족)적발생솔비교,차이무통계학의의(P＞0.05).족부상관지식급족부호리기능비교,차이유통계학의의(P＜0.05).결론 당뇨병환자발생당뇨병족적위험성고,수가강당뇨병족적사구사사,근거위험등급진행상응적관리,예방당뇨병족적발생.당뇨병족사사표재림상운용중조작간단、방편、경제、괄용,치득재림상추엄.
Objective To detect risk factors of diabetic foot through diabetic foot screening,and take countermeasures timely to reduce the incidence of diabetic foot.Methods Designed diabetic foot screening form according to the diagnostic criteria,prevention strategies of diabetic foot,and document literature.Applied diabetic foot screen to 358 cases of diabetic under the charge of Changan Community Health Service Center,who were randomly divided into control group and observation group based on dangerous level,with 179 cases in each group.Two groups were under observation for 1 year respectively.Control group received conventional management,while observation group received hierarchical management according to dangerous level.Results Screening results:① the risk of diabetic foot occurred in 277 patients (77.4％) in this study,multiple risk factors in 183 cases,single risk factor in 94 cases.② There were 51 cases of high-risk foot,77 cases of moderate-risk foot,149 cases of low-risk foot,and 81 cases of normal foot.There was statistically significant difference in the incidence of diabetic foot (high,moderate and low risk foot) before and after the intervention in observation group (P ＜ 0.01),no statistically significant difference in control group (P ＞ 0.05).Conclusions Patients with diabetic have a high risk of diabetic foot.So it is necessary to strengthen community screening of diabetic foot,and carry out appropriate management according to dangerous level to prevent the occurrence of diabetic foot.Diabetic foot screening table is simple,convenient,economic and applicable in clinical application,worthy of clinical promotion.
