专科护士主导的以自我管理为导向的 5A 护理模式对糖尿病足患者的影响
The impact of a specialist nurse-led self-management-oriented 5A care model on patients with diabetic foot
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| DOI |
10.12208/j.jmnm.202200420 |
| 刊名 |
Journal of Modern Nursing MedicineJPCNS
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| 年,卷(期) |
2022, 1(7) |
| 作者 |
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| 作者单位 |
靖江市人民医院 江苏泰州 ;
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| 摘要 |
分析糖尿病足用专科护士主导的以自我管理为导向的 5A 护理的价值。方法 对 2021 年1 月-2022 年 6 月本院内分泌科接诊 2 型糖尿病并发糖尿病足病人(n=57)进行随机分组,观察组 29 人采取专科护士主导的以自我管理为导向的 5A 护理,对照组 28 人行常规护理。对比患者的病情改善成效。结果 关于糖化血红蛋白和空腹血糖:干预结束时,观察组数据比对照组低(P<0.05)。关于 SDSCA 评分:干预结束时,观察组数据比对照组高(P<0.05)。关于足部愈合率,观察组数据 93%,和对照组数据 73%相比更高(P<0.05)。结论 糖尿病用专科护士主导的以自我管理为导向的 5A 护理,可有效控制病人血糖,提高患者足部自我护理和足部检查的能力,提高糖尿病足的愈合率。
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| Abstract |
Objective To analyze the value of self-management-oriented 5A nursing led by specialist nursesof diabetic foot. Methods From January 2021 to June 2022, 57 patients with type 2 diabetes mellitus complicatedwith diabetic foot admitted to the Department of Endocrinology of our hospital (n=57) were randomly divided intothe observation group (n= 29) and the control group (n= 28). The observation group received 5A nursing led byspecialist nurses, and the control group received routine nursing. Compare the improvement effect of patientscondition. Results At the end of intervention, the data of the observation group were lower than those of the controlgroup (P < 0.05). About SDSCA score: At the end of the intervention, the data of the observation group was higherthan that of the control group (P < 0.05). The rate of foot healing was 93% in the observation group, which washigher than 73% in the control group (P < 0.05). Conclusion The self-management-oriented 5A nursing led byspecialist nurses for diabetes can effectively control patients blood glucose, improve patients ability of footself-care and foot examination, and improve the healing rate of diabetic foot.
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| 关键词 |
5A 护理模式;2 型糖尿病;糖尿病足;专科护士;自我管理能力
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| KeyWord |
5A nursing model; type 2 diabetes; diabetic foot; specialist nurse; self-management ability
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| 基金项目 |
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| 页码 |
76-78 |
蒋如珏*,胡艳.
专科护士主导的以自我管理为导向的 5A 护理模式对糖尿病足患者的影响 [J].
现代护理医学杂志.
2022; 1; (7).
76 - 78.