PURPOSE: Diabetic patients with severe diabetic neuropathy often have hypoesthesia and numbness. This study evaluated foot self-care behavior according to severity of diabetic neuropathy. METHODS: We used a hand-held ...PURPOSE: Diabetic patients with severe diabetic neuropathy often have hypoesthesia and numbness. This study evaluated foot self-care behavior according to severity of diabetic neuropathy. METHODS: We used a hand-held nerve conduction test device DPN check (HDN-1000, Omron) to evaluate severity of diabetic neuropathy. Foot self-care was evaluated using the Japanese SDSCA (the Summary of Diabetes Self-Care Activities measure). Foot self-care comprised visual inspection, washing, wiping interdigital areas, and checking shoes, and was scored according to the number of days self-care which was performed in the previous week. RESULTS: The study evaluated 103 diabetic patients (age: 65.7 years, diabetes duration: 13.9 years, HbA1c: 7.3%). Total scores (out of 28 points) for self-care behavior according to neuropathy severity were 11.8 (Normal: n = 54), 10.6 (Mild: n = 27), 13.3 (Moderate: n = 17), and 10.8 (Severe: n = 5). Foot self-care scores were low in all groups, with particularly low scores in those with severe neuropathy. However, no statistically significant differences were observed. CONCLUSIONS: Foot self-care is essential in diabetes because lesions are more likely to occur in severe neuropathy. Living alone and the presence of recurrent foot lesions are associated with poor survival prognosis. Accordingly, foot-care intervention must take neuropathy severity and lifestyle factors into account. The severity of diabetic neuropathy must be determined and foot-care intervention should take lifestyle factors into account.展开更多
Objective: To verify the effectiveness of a “self-foot-care educational program (SFCEP)” for prevention of type 2 diabetes foot disease. Methods: A single-center, randomized and controlled trial was conducted. Fifty...Objective: To verify the effectiveness of a “self-foot-care educational program (SFCEP)” for prevention of type 2 diabetes foot disease. Methods: A single-center, randomized and controlled trial was conducted. Fifty-five patients with type 2 DM, 40 - 75 years of age who were asked to return for a follow-up hospital visit, were allocated to either an SFCEP group (n = 29) or a conventional education program (CEP) group (n = 26). Both of the groups were given foot-care education, monthly for four times in the SFCEP group and in the CEP group one time only by a printed leaflet. The two groups had no statistically significant differences in patient background of the type 2 diabetes history. We evaluated removal rate of skin debris, and the symptoms and conditions of the feet. Results: Between the SFCEP and CEP there were significant differences in removal rate of skin debris (p Conclusion: This study strongly suggests the effectiveness of SFCEP in preventing the occurrence or worsening of diabetic foot diseases.展开更多
Diabetes mellitus has become a global epidemic of 21st century with dispro- portionately high socioeconomic burden in the developing world. Foot ulcerations secondary to peripheral neuropathy and peripheral vascular d...Diabetes mellitus has become a global epidemic of 21st century with dispro- portionately high socioeconomic burden in the developing world. Foot ulcerations secondary to peripheral neuropathy and peripheral vascular disease have led to devastating health outcomes including amputations. A descriptive survey targeting a sample size of 301 was drawn from the selected health facility. Majority of the respondents were female and aged between 40 and 70 years old. The duration that a patient had lived with diabetes, history of smoking and respondents age was significantly associated with foot ulcers at P-value bare foot in and out of the house, breaking into new shoes, poor inspection of feet were associated with the development of foot ulcers while dressing of blisters with sterile dressings was associated with the prevention of foot ulcers.展开更多
目的 探讨基于融媒体的足部护理指导在糖尿病足患者中的应用价值。方法 便利选取2022年1—12月济阳区人民医院收治的86例糖尿病足患者作为研究对象,根据不同护理方法分为两组,对照组(n=43)行常规护理,观察组(n=43)增用基于融媒体的足部...目的 探讨基于融媒体的足部护理指导在糖尿病足患者中的应用价值。方法 便利选取2022年1—12月济阳区人民医院收治的86例糖尿病足患者作为研究对象,根据不同护理方法分为两组,对照组(n=43)行常规护理,观察组(n=43)增用基于融媒体的足部护理指导方案,比较两组患者的足部护理能力、自我效能、足部问题发生率、生活质量评分。结果 护理后,两组患者的中文版诺丁汉足部护理评估量表(Nottingham Assessment of Functional Foot-care,NAFF)、糖尿病自我效能量表(Diabetes Management Self-efficacy Scale,DMSES)评分与糖尿病患者生存质量特异性量表(Diabetes Specific Quality of Life Scale,DSQL)评分均较护理前均升高,且观察组的NAFF、DMSES、DSQL评分均高于对照组,差异均有统计学意义(P均<0.05)。观察组患者足部干燥皲裂、足部麻木的发生率分别为6.98%(3/43)、11.63%(5/43),均低于对照组的25.58%(11/43)、30.23%(13/43),差异均有统计学意义(χ2=5.460,4.497;P均<0.05)。结论 在糖尿病足患者足部护理中,基于融媒体的护理指导有助于提升患者的足部护理能力,改善其自我效能与生活质量,降低足部问题的发生风险。展开更多
目的探讨基于“互联网+”服务的分级健康教育对社区0级糖尿病足患者的应用效果。方法选取2021年12月—2023年12月青岛市胶州中心医院收治的500例0级糖尿病足患者,按照护理方法不同将其分为观察组与对照组,各250例。对照组实施常规健康教...目的探讨基于“互联网+”服务的分级健康教育对社区0级糖尿病足患者的应用效果。方法选取2021年12月—2023年12月青岛市胶州中心医院收治的500例0级糖尿病足患者,按照护理方法不同将其分为观察组与对照组,各250例。对照组实施常规健康教育,观察组实施基于“互联网+”服务的分级健康教育。对比两组患者糖尿病足自护行为正确率、糖尿病足评估结果,采用糖尿病特异性生存质量量表(Diabetes Spe-cific Quality of Life Scale,DSQL)评价其生活质量,最后对比两组患者护理满意度。结果护理后两组患者血糖监测、足部压力监测、足部检查、足部温度监测、足部卫生、选择合适鞋袜相关自护行为正确率均升高,且观察组高于对照组,差异均有统计学意义(P均<0.05)。护理后观察组患者糖尿病足发展情况(0级216例、1级25例、2级6例、3级3例)优于对照组,差异有统计学意义(P<0.05)。护理后两组患者治疗依从性、心理健康、社会关系、生理功能相关DSQL评分均降低,且观察组低于对照组,差异均有统计学意义(P均<0.05)。观察组患者护理满意度为94.00%(235/250),高于对照组的78.00%(195/250),差异有统计学意义(χ^(2)=26.578,P<0.05)。结论对社区0级糖尿病足患者采取基于“互联网+”服务的分级健康教育可提升患者自我护理能力,控制糖尿病足进展,提升患者生活质量,且患者护理满意度较高。展开更多
目的评价态度-定义-开放思维-计划-实施(attitude-definition-openthinking-planning-try it out,ADOPT)问题解决模式延续性护理应用在糖尿病足患者护理中的意义。方法选取2023年4月-2024年3月庄浪县中医医院收治的90例糖尿病足患者为...目的评价态度-定义-开放思维-计划-实施(attitude-definition-openthinking-planning-try it out,ADOPT)问题解决模式延续性护理应用在糖尿病足患者护理中的意义。方法选取2023年4月-2024年3月庄浪县中医医院收治的90例糖尿病足患者为研究对象。根据护理方法的不同分为参照组(n=45,行常规护理)、研究组(n=45,行ADOPT问题解决模式延续性护理)。比较两组护理满意度、糖尿病足不良结局、自我管理能力。结果研究组护理满意度为95.56%(43/45),高于参照组的80.00%(36/45),差异有统计学意义(χ^(2)=5.075,P=0.024)。研究组不良糖尿病足不良结局发生率低于参照组,差异有统计学意义(P<0.05)。研究组自我管理能力评分各维度均高于参考组,差异均有统计学意义(P均<0.05)。结论ADOPT问题解决模式延续性护理的开展,可提高糖尿病足患者自我管理能力。展开更多
文摘PURPOSE: Diabetic patients with severe diabetic neuropathy often have hypoesthesia and numbness. This study evaluated foot self-care behavior according to severity of diabetic neuropathy. METHODS: We used a hand-held nerve conduction test device DPN check (HDN-1000, Omron) to evaluate severity of diabetic neuropathy. Foot self-care was evaluated using the Japanese SDSCA (the Summary of Diabetes Self-Care Activities measure). Foot self-care comprised visual inspection, washing, wiping interdigital areas, and checking shoes, and was scored according to the number of days self-care which was performed in the previous week. RESULTS: The study evaluated 103 diabetic patients (age: 65.7 years, diabetes duration: 13.9 years, HbA1c: 7.3%). Total scores (out of 28 points) for self-care behavior according to neuropathy severity were 11.8 (Normal: n = 54), 10.6 (Mild: n = 27), 13.3 (Moderate: n = 17), and 10.8 (Severe: n = 5). Foot self-care scores were low in all groups, with particularly low scores in those with severe neuropathy. However, no statistically significant differences were observed. CONCLUSIONS: Foot self-care is essential in diabetes because lesions are more likely to occur in severe neuropathy. Living alone and the presence of recurrent foot lesions are associated with poor survival prognosis. Accordingly, foot-care intervention must take neuropathy severity and lifestyle factors into account. The severity of diabetic neuropathy must be determined and foot-care intervention should take lifestyle factors into account.
文摘Objective: To verify the effectiveness of a “self-foot-care educational program (SFCEP)” for prevention of type 2 diabetes foot disease. Methods: A single-center, randomized and controlled trial was conducted. Fifty-five patients with type 2 DM, 40 - 75 years of age who were asked to return for a follow-up hospital visit, were allocated to either an SFCEP group (n = 29) or a conventional education program (CEP) group (n = 26). Both of the groups were given foot-care education, monthly for four times in the SFCEP group and in the CEP group one time only by a printed leaflet. The two groups had no statistically significant differences in patient background of the type 2 diabetes history. We evaluated removal rate of skin debris, and the symptoms and conditions of the feet. Results: Between the SFCEP and CEP there were significant differences in removal rate of skin debris (p Conclusion: This study strongly suggests the effectiveness of SFCEP in preventing the occurrence or worsening of diabetic foot diseases.
文摘Diabetes mellitus has become a global epidemic of 21st century with dispro- portionately high socioeconomic burden in the developing world. Foot ulcerations secondary to peripheral neuropathy and peripheral vascular disease have led to devastating health outcomes including amputations. A descriptive survey targeting a sample size of 301 was drawn from the selected health facility. Majority of the respondents were female and aged between 40 and 70 years old. The duration that a patient had lived with diabetes, history of smoking and respondents age was significantly associated with foot ulcers at P-value bare foot in and out of the house, breaking into new shoes, poor inspection of feet were associated with the development of foot ulcers while dressing of blisters with sterile dressings was associated with the prevention of foot ulcers.
文摘目的 探讨基于融媒体的足部护理指导在糖尿病足患者中的应用价值。方法 便利选取2022年1—12月济阳区人民医院收治的86例糖尿病足患者作为研究对象,根据不同护理方法分为两组,对照组(n=43)行常规护理,观察组(n=43)增用基于融媒体的足部护理指导方案,比较两组患者的足部护理能力、自我效能、足部问题发生率、生活质量评分。结果 护理后,两组患者的中文版诺丁汉足部护理评估量表(Nottingham Assessment of Functional Foot-care,NAFF)、糖尿病自我效能量表(Diabetes Management Self-efficacy Scale,DMSES)评分与糖尿病患者生存质量特异性量表(Diabetes Specific Quality of Life Scale,DSQL)评分均较护理前均升高,且观察组的NAFF、DMSES、DSQL评分均高于对照组,差异均有统计学意义(P均<0.05)。观察组患者足部干燥皲裂、足部麻木的发生率分别为6.98%(3/43)、11.63%(5/43),均低于对照组的25.58%(11/43)、30.23%(13/43),差异均有统计学意义(χ2=5.460,4.497;P均<0.05)。结论 在糖尿病足患者足部护理中,基于融媒体的护理指导有助于提升患者的足部护理能力,改善其自我效能与生活质量,降低足部问题的发生风险。
文摘目的探讨基于“互联网+”服务的分级健康教育对社区0级糖尿病足患者的应用效果。方法选取2021年12月—2023年12月青岛市胶州中心医院收治的500例0级糖尿病足患者,按照护理方法不同将其分为观察组与对照组,各250例。对照组实施常规健康教育,观察组实施基于“互联网+”服务的分级健康教育。对比两组患者糖尿病足自护行为正确率、糖尿病足评估结果,采用糖尿病特异性生存质量量表(Diabetes Spe-cific Quality of Life Scale,DSQL)评价其生活质量,最后对比两组患者护理满意度。结果护理后两组患者血糖监测、足部压力监测、足部检查、足部温度监测、足部卫生、选择合适鞋袜相关自护行为正确率均升高,且观察组高于对照组,差异均有统计学意义(P均<0.05)。护理后观察组患者糖尿病足发展情况(0级216例、1级25例、2级6例、3级3例)优于对照组,差异有统计学意义(P<0.05)。护理后两组患者治疗依从性、心理健康、社会关系、生理功能相关DSQL评分均降低,且观察组低于对照组,差异均有统计学意义(P均<0.05)。观察组患者护理满意度为94.00%(235/250),高于对照组的78.00%(195/250),差异有统计学意义(χ^(2)=26.578,P<0.05)。结论对社区0级糖尿病足患者采取基于“互联网+”服务的分级健康教育可提升患者自我护理能力,控制糖尿病足进展,提升患者生活质量,且患者护理满意度较高。
文摘目的评价态度-定义-开放思维-计划-实施(attitude-definition-openthinking-planning-try it out,ADOPT)问题解决模式延续性护理应用在糖尿病足患者护理中的意义。方法选取2023年4月-2024年3月庄浪县中医医院收治的90例糖尿病足患者为研究对象。根据护理方法的不同分为参照组(n=45,行常规护理)、研究组(n=45,行ADOPT问题解决模式延续性护理)。比较两组护理满意度、糖尿病足不良结局、自我管理能力。结果研究组护理满意度为95.56%(43/45),高于参照组的80.00%(36/45),差异有统计学意义(χ^(2)=5.075,P=0.024)。研究组不良糖尿病足不良结局发生率低于参照组,差异有统计学意义(P<0.05)。研究组自我管理能力评分各维度均高于参考组,差异均有统计学意义(P均<0.05)。结论ADOPT问题解决模式延续性护理的开展,可提高糖尿病足患者自我管理能力。
