The impact of continuous nursing based on individual and family self-management theory on elderly patients with diabetes foot
个人和家庭自我管理理论的延续性护理对老年糖尿病足患者的影响

摘要

目的 探讨个人和家庭自我管理理论的延续性护理对老年糖尿病足患者的影响。方法 选取2024年8月至2025年8月在社区街道卫生服务中心治疗的70例老年糖尿病足患者，采用随机数字表法分为两组。对照组实施常规出院延续护理，观察组应用个人和家庭自我管理理论指导的延续性护理。比较两组足部功能评分、血糖控制指标、自我管理能力评分及并发症发生情况。结果 观察组足部功能、自我管理能力评分高于对照组，FPG、2hPG、HbA1c及并发症发生率低于对照组（P<0.05）。结论 个人和家庭自我管理理论的延续性护理可有效改善老年糖尿病足患者足部功能，优化血糖控制效果，提升自我管理能力，具有临床推广价值。

Abstract

Objective To explore the impact of continuous nursing based on individual and family self-management theory on elderly patients with diabetes feet.
Methods 70 elderly patients with diabetes foot who were treated in community street health service center from August 2024 to August 2025 were selected and divided into two groups by random number table. The control group received routine discharge continuity of care, while the observation group received continuity of care guided by personal and family self-management theories. Compare the foot function scores, blood glucose control indicators, self-management ability scores, and incidence of complications between two groups.
Results The foot function and self-management ability scores of the observation group were higher than those of the control group, while the FPG, 2hPG, HbA1c, and incidence of complications were lower than those of the control group (P<0.05).
Conclusion   The continuous nursing of individual and family self-management theory can effectively improve the foot function of elderly patients with diabetes foot, optimize the effect of blood sugar control, and enhance the ability of self-management, which has clinical promotion value.