Study on application effect of fine nursing model in wound management of elderly diabetic foot
精细化护理模式在老年糖尿病足伤口管理中的应用效果研究

摘要

目的 研究分析精细化护理模式应用在老年糖尿病足伤口管理中的效果。方法 随机选取我科室2022年1月-2023年12月收治的100例老年糖尿病足患者为研究对象，利用随机数表法将患者进行分组，共分成对照组和研究组，各50例，对照组实施常规护理，研究组实施精细化护理，观察糖尿病足伤口护理效果、血糖指标及预后效果。结果 通过护理实施后，研究组患者糖尿病足护理有效率（P<0.05）。在血糖指标上，护理后研究组患者空腹血糖、餐后2h血糖及糖化血红蛋白水平均低于对照组，预后生活质量均高于对照组（P<0.05）。结论 精细化护理模式应用在老年糖尿病足伤口管理中可促进创面恢复，控制血糖，改善预后。

Abstract

Objective To study and analyze the effect of the application of refined nursing mode in the foot wound management of elderly diabetic patients.
Methods 100 elderly diabetic foot patients admitted to our department from January 2022 to December 2023 were randomly selected as research objects, and the patients were divided into control group and research group by random number table method, with 50 cases in each group. The control group received routine nursing, while the research group received refined nursing. To observe the nursing effect, blood glucose index and prognosis of diabetic foot wound.
Results After nursing implementation, the effective rate of diabetic foot nursing in the study group (P<0.05). In terms of blood glucose indexes, the levels of fasting blood glucose, 2h postprandial blood glucose and HBA1c in the study group after nursing were lower than those in the control group, and the prognostic quality of life in the study group was higher than that in the control group (P<0.05).
Conclusion   The application of refined nursing mode in wound management of elderly diabetic feet can promote wound recovery, control blood sugar and improve prognosis.