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目的评价集束化干预对糖尿病足患者血管腔内治疗的护理效果。方法选择2014年2月到2015年8月期间收治的糖尿病足患者114例,根据患者的入院顺序分为观察组和对照组,每组57例。给予所有患者常规护理,观察组患者在此基础之上行集束化护理干预措施。对2组患者干预后疗效进行比较,采取问卷调查的方式评价护理效果,观察2组患者干预前后的情绪变化。结果观察组患者干预后的疗效94.74%显著高于对照组84.21%,2组比较差异有统计学意义(P<0.05)。干预后,观察组患者的护理满意度、饮食管理、服药情况、情绪控制、锻炼情况以及疾病认识的效果优于对照组,差异有统计学意义(P<0.05)。观察组患者的SDS评分(43.12±10.76)分和SAS评分(42.15±9.98)分改善效果显著优于对照,2组比较差异有统计学意义(P<0.05)。结论对糖尿病足患者血管腔内治疗采取集束化护理干预可以缓解患者的抑郁和焦虑情绪,提高患者的满意度及临床疗效,值得推广使用。
Objective To evaluate the effect of intensive intervention on endovascular treatment of diabetic foot patients. Methods One hundred and fourteen patients with diabetic foot admitted between February 2014 and August 2015 were divided into observation group and control group according to the order of admission, with 57 cases in each group. All patients were given routine care, and on the basis of this, cluster patients were given cluster nursing interventions. Two groups of patients after the intervention compared the efficacy of a questionnaire to evaluate the effect of nursing, observation of two groups of patients before and after the change in mood. Results After treatment, the curative effect of observation group was 94.74%, which was significantly higher than that of control group (84.21%). There was significant difference between two groups (P <0.05). After intervention, the effect of nursing satisfaction, diet management, medication, emotion control, exercise and disease awareness in the observation group was better than that in the control group, with significant difference (P <0.05). Patients in the observation group had significantly better SDS scores (43.12 ± 10.76) and SAS scores (42.15 ± 9.98) than those in the control group, with significant difference between the two groups (P <0.05). Conclusions The intensive nursing intervention for endovascular treatment of diabetic foot patients can alleviate depression and anxiety, improve patient satisfaction and clinical efficacy, and should be widely used.