循证护理在促进胫骨横向骨搬移术后2型糖尿病足溃疡康复的效果观察

摘要

目的 用循证护理的原理来检索、雪习、总结出一套胫骨横向骨搬移患者术后的护理路径,并探究其护理效果.方法 运用一套具有针对性的护理干预方案,对17例胫骨横向骨搬移术后的2型糖尿病足患者进行护理,2个月后用溃疡减小百分数、视觉疼痛评分、足背温度来评价护理效果.结果 术前足背皮温为(28.49 ± 1.12)℃,视觉疼痛评分为(4.06 ± 1.40)分,随访2个月后足背皮温为(29.97 ± 1.26)℃,视觉疼痛评分为(1.94 ± 1.92)分,干预前后比较差异有统计雪意义(t=-4.822、0.000,P＜0.01或0.05).15例(另2例治疗中截趾,无法统计)溃疡面积比干预前减小25%～100%,平均为59%(25%+32%+35%+39%+43%+46%+52%+53%+58%+63%+79%+81%+87%+100%+100%)/15).结论 实施循证护理可提供及时而有效的护理干预,减轻患者的痛苦,促进胫骨横向骨搬移术后糖尿病足溃疡的康复.%Objective Based on the principle of evidence-based nursing, we searched, studied and summarized a nursing pathway for patients who after transverse tibial bone transportation, and explored its effect. Methods With A set of targeted nursing intervention program, 17 patients with type 2 diabetic foot patients after transverse tibial bone transportation were nursed. After 2 months, the percentage of ulcer decreased, the visual analogue scale and the temperature of foot dorsum were used to evaluate the nursing effect. Results The average temperature of foot dorsum was (28.49±1.12)℃, the average visual analogue scale was (4.06 ± 1.40). And after 2 months, the average temperature of foot dorsum was (29.97± 1.26)℃, the average visual analogue scale was (1.94±1.92), and the area of ulcer in 15 cases (2 cases could not be counted due to toe amputations in treatment) decreased by 25%~100% , with an average of 59% , compared with that before intervention. Conclusions The implementation of evidence-based nursing can provide effective nursing intervention, relieve the pain of patients, and promote the rehabilitation of diabetic foot ulcers after transverse tibial bone transportation.