CAJ | 학술논문

目的观察中医辨证足浴联合足底穴位按摩治疗0级糖尿病足的效果.方法选取0级糖尿病足患者120例,按随机数字表法随机分为干预组和对照组各60例.对照组给予糖尿病基础治疗,由责任护士向患者讲解糖尿病知识,进行足部护理教育,教会患者糖尿病自我管理方法;干预组在对照组基础上根据患者症状与临床表现,由1名主任中医师进行辩证选方后予患者进行足浴,再由1名中医专科护士进行足部穴位按摩,住院期间教会患者或其家属学会穴位按摩方法,出院时根据患者足部分型代煎药带走,患者每日临睡前坚持足浴与足底穴位按摩.两组均每周由专科护士电话随访至少1次,患者每月门诊复诊时加强局部检查(干预组同时配药),持续干预6个月.结果干预组干预6个月后踝肱指数、足部压力感觉阈值、足部振动感觉阈值均优于对照组,差异有统计学意义(P<0.05).结论中医辨证足浴联合足底穴位按摩方法能改善0级糖尿病足症状,是一种安全、有效、经济的护理方法,简便可行,无不良反应,患者易接受,对糖尿病足的防治有一定参考价值.
목적관찰중의변증족욕연합족저혈위안마치료0급당뇨병족적효과.방법선취0급당뇨병족환자120례,안수궤수자표법수궤분위간예조화대조조각60례.대조조급여당뇨병기출치료,유책임호사향환자강해당뇨병지식,진행족부호리교육,교회환자당뇨병자아관리방법;간예조재대조조기출상근거환자증상여림상표현,유1명주임중의사진행변증선방후여환자진행족욕,재유1명중의전과호사진행족부혈위안마,주원기간교회환자혹기가속학회혈위안마방법,출원시근거환자족부분형대전약대주,환자매일림수전견지족욕여족저혈위안마.량조균매주유전과호사전화수방지소1차,환자매월문진복진시가강국부검사(간예조동시배약),지속간예6개월.결과간예조간예6개월후과굉지수、족부압력감각역치、족부진동감각역치균우우대조조,차이유통계학의의(P<0.05).결론중의변증족욕연합족저혈위안마방법능개선0급당뇨병족증상,시일충안전、유효、경제적호리방법,간편가행,무불량반응,환자역접수,대당뇨병족적방치유일정삼고개치.
@@@@Objective To observe the effect of TCM foot bath with foot massage on the nursing of grade 0 diabetic foot. Methods A total of 120 patients with grade 0 diabetic foot were randomly divided into intervention group (n=60) and control group (n=60). Basic treatment including diabetic knowledge, foot nursing education and self-management method was provided for patients in control group, and in intervention group, in addition to basic treatment, patients received specific TCM foot bath and foot massage by nurses and were required to insist on foot bath and massage after discharge. Telephone follow-up by nurse specialists at least once per week was carried out in two groups for six months and during the monthly return visit in outpatient, special examination on foot was conducted. Results The values of ankle brachial index (ABI), foot pressure perception threshold and foot vibration perception threshold in intervention group were better than those in control group, and were better after intervention, which revealed statistical significance (P<0.05). Conclusion TCM foot bath with foot massage is a safe and effective nursing method for patients with grade 0 diabetic foot.