劉京　張庚良　楊娜

[摘要] 目的 探討針對性護理干預對糖尿病足患者治療依從性及足部自護能力的影響。 方法 選擇2015年8月～2017年8月在我院治療的糖尿病組70例為研究對象，隨機分為干預組與對照組各35例。對照組給予常規(guī)護理，干預組給予針對性護理干預。比較干預前后兩組糖尿病治療依從性、足自護水平、Wagner評分、疼痛評分。結果 干預組出院時及出院后3個月糖尿病治療依從性均顯著高于對照組，差異有統(tǒng)計學意義（P<0.05）。干預組出院時及出院后3個月足部自護知識水平評分均顯著高于對照組，差異有統(tǒng)計學意義（P<0.05）。出院后3個月，干預組Wagner分級低于對照組，差異有統(tǒng)計學意義（P<0.05）。兩組出院時及出院后3個月疼痛評分均顯著低于干預前，差異有統(tǒng)計學意義（P<0.05）；干預組出院后3個月疼痛評分顯著低于對照組，差異有統(tǒng)計學意義（P<0.05）。 結論 針對性護理干預能夠顯著提高糖尿病組患者治療依從性以及足部自護水平。

[關鍵詞] 針對性護理干預；糖尿病足；依從性；自護能力

[中圖分類號] R587.1；R473.5 [文獻標識碼] B [文章編號] 1673-9701（2018）12-0160-03

Influence of Targeted Nursing Intervention on Treatment Compliance and Foot Self-Care Ability in Patients with Diabetic Foot

LIU Jing1 ZHANG Gengliang1 YANG Na1 ZHANG Yali2

1.Department of Endocrinology， TCM Hospital of Hebei Province， Shijiazhuang， Hebei 050000， China； 2.Department of Surgery， TCM Hospital of Hebei Province， Shijiazhuang， Hebei 050000， China

[Abstract] Objective To investigate the influence of targeted nursing intervention on treatment compliance and foot self-care ability in patients with diabetic foot. Methods 70 patients with diabetic foot in our hospital from August， 2016 to August， 2017 were selected and randomized into intervention group and control group with 35 patients in each. Patients in control group received routine nursing care. Patients in intervention group received targeted nursing intervention. The treatment compliance of diabetes， foot self-care ability， score of Wagner and pain score before and after intervention were compared in two groups. Results The treatment compliance of diabetes when and 3 months after discharged in intervention group was significantly higher than that in control group（P<0.05）. The scores of foot self-care knowledge when and 3 months after discharged in intervention group were significantly higher than those in control group（P<0.05）. The Wagner grade of intervention group 3 months after discharged was significantly lower than that of control group （P<0.05）. The pain scores when and 3 months after discharged in two groups were statistically lower than that before intervention（P<0.05）. The pain score 3 months after discharged in intervention group was significantly lower than that in control group（P<0.05）. Conclusion Targeted nursing intervention could improve treatment compliance and foot self-care ability in patients with diabetic foot significantly.

[Key words] Targeted Nursing Intervention； Diabetic Foot； Compliance； Self-Care Ability