CAJ | 학술논문

[目的]探讨门诊循证护理对糖尿病足病人足部功能与生活质量的影响。[方法]选取糖尿病足病人120例，根据随机抽样原则分为治疗组与对照组各60例，对照组给予常规治疗与护理干预，治疗组在对照组干预的基础上给予门诊循证护理，均干预2周。干预后进行疗效评价。[结果]干预后治疗组与对照组的有效率分别为98.3%和86.7%，治疗组疗效明显高于对照组(P<0.05)。两组干预后的空腹血糖与餐后2 h血糖均明显低于干预前(P<0.05)，且干预后治疗组空腹血糖与餐后2 h血糖明显低于对照组(P<0.05)。两组干预后的足背动脉搏动、下肢麻木和足部疼痛评分均明显低于干预前(P<0.05)，且干预后治疗组足背动脉搏动、下肢麻木和足部疼痛评分也明显低于对照组(P<0.05)。干预后治疗组生理功能、生理职能、躯体疼痛和总体健康评分明显高于对照组(P<0.05)。[结论]门诊循证护理在糖尿病足干预中的应用可有效降低血糖，提高病人的足部功能与生活质量，从而有利于病人的康复。
[목적]탐토문진순증호리대당뇨병족병인족부공능여생활질량적영향。[방법]선취당뇨병족병인120례，근거수궤추양원칙분위치료조여대조조각60례，대조조급여상규치료여호리간예，치료조재대조조간예적기출상급여문진순증호리，균간예2주。간예후진행료효평개。[결과]간예후치료조여대조조적유효솔분별위98.3%화86.7%，치료조료효명현고우대조조(P<0.05)。량조간예후적공복혈당여찬후2 h혈당균명현저우간예전(P<0.05)，차간예후치료조공복혈당여찬후2 h혈당명현저우대조조(P<0.05)。량조간예후적족배동맥박동、하지마목화족부동통평분균명현저우간예전(P<0.05)，차간예후치료조족배동맥박동、하지마목화족부동통평분야명현저우대조조(P<0.05)。간예후치료조생리공능、생리직능、구체동통화총체건강평분명현고우대조조(P<0.05)。[결론]문진순증호리재당뇨병족간예중적응용가유효강저혈당，제고병인적족부공능여생활질량，종이유리우병인적강복。
Objective:To probe into influence of outpatient evidence based nursing on foot function and quality of life of patients with diabetic foot.Methods:A total of 120 diabetic foot patients were randomly divided into treatment group and control group based on the random sampling principle 60 cases in each.Patients in control group were given the conventional treatment and care,and patients in treatment group were given positive out-patient evidence based nursing on the base of control group intervention for 2 weeks.Results:The effective rates were 98.3% and 86.7% respectively in treatment group and control group.The curative effect of treat-ment group was significantly higher than that in control group(P<0.05).After the intervention,the value of fasting plasma glucose and postprandial blood glucose 2h were significantly lower than those before intervention in both groups(P<0.05).The dorsalis pedis artery,lower limb numbness and foot pain scores after intervention were significantly lower than that before intervention in both groups(P<0.05).And after intervention the dor-salis pedis artery,lower limb numbness and foot pain scores of treatment group were significantly lower than those of the control group(P<0.05).After an investigation the physical functioning,role physical,bodily pain and general health scores of the treatment group were significantly higher than that of control group (P<0.05).Conclusion:Application of outpatient evidence based nursing in diabetic foot intervention can effectively decrease blood sugar,improve foot function and quality of life of patients.It is contributes to the rehabilitation of patients.