摘要
目的研究规范治疗及依从性对老年2型糖尿病足病防控的应用价值。方法 100例老年2型糖尿病非足病住院患者,采用分层比例法将患者分为实验组(能够严格遵守医嘱并规范防控措施,依从性较好者)和对照组(平常生活习惯随意性强,易健忘者),每组50例。两组患者均给予常规用药治疗,并嘱出院后用药规范;实验组患者此基础上给予定期糖尿病足病知识防控及常规护理干预方法培训。持续跟踪2年后,观察两组患者糖尿病足病发生率,比较两组患者出院前及出院干预1年后的自护能力、认知功能评分及血糖指标变化情况。结果出院干预1年后,实验组患者糖尿病足病发生率为0,低于对照组的8.0%,差异有统计学意义(P<0.05)。出院前,两组患者自护能力比较差异无统计学意义(P>0.05);干预1年后,实验组患者自护能力优于对照组,差异有统计学意义(P<0.05)。干预1年后,实验组认知功能评分高于对照组,空腹血糖(FPG)和糖化血红蛋白(Hb A1c)水平低于对照组,差异均有统计学意义(P<0.01)。结论规范治疗及良好依从性对糖尿病足病的防控有积极意义,可提高老年患者自我防护能力,改善血糖控制水平,并减少糖尿病足病发生率。
Objective To research application value of standard treatment and compliance for prevention and control of senile diabetic foot. Methods A total of 100 senile type 2 diabetes mellitus patients without foot disease were divided by delamination percentage method into experimental group（patients with good compliance and could strictly follow medical advice and standard control measures） and control group（oblivious patients with arbitrariness in daily life）, with 50 cases in each group. Both groups received conventional drug therapy, along with medication standard after discharge. The experimental group received additional regular prevention and control of diabetic foot and training of general nursing measures. After 2-year follow-up, observation was made on incidence of diabetic foot in both groups. Changes in self-caring ability, cognitive function score and blood glucose index were compared between the two groups before and in 1 year after discharge. Results In 1 year of intervention after discharge, the experimental group had lower incidence of complications as 0 than 8.0% in the control group, and the difference had statistical significance（P〈0.05）. Before discharge, there was no statistically significant difference of self-caring ability between the two groups（P〈0.05）. After 1 year of intervention, the experimental group had better self-caring ability than the control group, and the difference had statistical significance（P〉0.05）. After 1 year of intervention, the experimental group had higher cognitive function score than the control group, while its fasting plasma glucose（FPG） and glycosylated hemoglobin（Hb A1c） levels were lower than the controlgroup. Their differences all had statistical significance（P〈0.01）. Conclusion Standard treatment and good compliance contain positive significance for prevention and control of senile diabetic foot. This method can enhance self-caring ability in senile patients, improve their blood glucose control level, and reduce incidence of
出处
《中国实用医药》
2016年第35期184-186,共3页
China Practical Medicine
关键词
依从性
2型糖尿病
糖尿病足病
Compliance
Type 2 diabetes mellitus
Diabetic foot
