研究分析糖尿病足患者接受截肢手术后临床护理干预对于血糖调控的影响情况

侯雪

[摘要] 目的 研究分析糖尿病足患者接受截肢手术后临床护理干预对于血糖调控的影响情况。方法 选取该院收治的122例接受截肢手术治疗的糖尿病足患者开展该次试验研究，纳入时间为2018年4月—2019年4月，所有患者通过数字表法进行平均分组，分别为参照组61例和研究组61例。其中参照组给予常规临床护理干预，研究组给予综合临床护理干预，比较两组患者的血糖控制情况及不良心理改善情况。结果 护理前两组患者的空腹血糖指标和餐后2 h血糖指标基本一致（P>0.05），护理后研究组患者的空腹血糖指标和餐后2 h血糖指标均明显低于参照组（P<0.05）;护理前两组患者的SAS评分与SDS评分基本一致（P>0.05），护理后研究组患者的SAS评分与SDS评分均明顯低于参照组（P<0.05）。结论 在接受截肢手术糖尿病足患者的护理工作中应用综合临床护理干预能够有效对患者血糖水平进行调控，能显著改善患者的不良情绪，有利于提升整体预后效果

[关键词] 糖尿病足;截肢手术;临床护理;血糖调控;应用影响

[中图分类号] R248.2          [文献标识码] A          [文章编号] 1672-4062（2020）03（a）-0182-02

Study and Analyze the Effect of Clinical Nursing Intervention on Blood Glucose Regulation in Patients with Diabetic Foot after Amputation

HOU Xue

Department of Surgery， Heilongjiang Second Hospital， Daqing， Heilongjiang Province， 150007 China

[Abstract] Objective To analyze the effect of clinical nursing intervention on blood glucose regulation in patients with diabetic foot after amputation. Methods A total of 122 patients with diabetic foot who were treated with amputation in the hospital were selected to carry out this trial. The enrollment time was from April 2018 to April 2019. 61 cases in each group. Among them， the reference group was given routine clinical nursing intervention， and the research group was given comprehensive clinical nursing intervention to compare the blood glucose control and adverse psychological improvement of the two groups of patients. Results The fasting blood glucose index and the 2 h postprandial blood glucose index of the two groups of patients before nursing were basically the same（P>0.05）. The fasting blood glucose index and the 2 h postprandial blood glucose index of the patients in the study group were significantly lower than those in the reference group（P<0.05） ; The SAS score and SDS score of the two groups of patients before nursing were basically the same（P>0.05）， and the SAS score and SDS score of the patients in the study group after nursing were significantly lower than those of the reference group（P<0.05）. Conclusion The application of comprehensive clinical nursing intervention in the nursing of patients with diabetic foot undergoing amputation can effectively regulate the blood glucose level of the patient， significantly improve the adverse mood of the patient， and improve the overall prognosis.

[Key words] Diabetic foot; Amputation surgery; Clinical nursing; Blood glucose regulation; Application impact