The burden of diabetic foot disease(DFD) is expected to increase in the future. The incidence of DFD is still rising due to the high prevalence of DFD predisposing factors. DFD is multifactorial in nature; however mos...The burden of diabetic foot disease(DFD) is expected to increase in the future. The incidence of DFD is still rising due to the high prevalence of DFD predisposing factors. DFD is multifactorial in nature; however most of the diabetic foot amputations are preceded by foot ulceration. Diabetic peripheral neuropathy(DPN) is a major risk factor for foot ulceration. DPN leads to loss of protective sensation resulting in continuous unconscious traumas. Patient education and detection of high risk foot are essential for the prevention of foot ulceration and amputation. Proper assessment of the diabetic foot ulceration and appropriate management ensure better prognosis. Management is based on revascularization procedures, wound debridement, treatment of infection and ulcer offloading. Management and type of dressing applied are tailored according to the type of wound and the foot condition. The scope of this review paper is to describe the diabetic foot syndrome starting from the evaluation of the foot at risk for ulceration, up to the new treatment modalities.展开更多
目的探讨协同护理模式对糖尿病肾病血液透析患者自我护理能力、生活质量及并发症的影响。方法选取2011年6月~2014年6月在该院接受血液透析治疗的糖尿病肾病患者110例为研究对象,随机分为对照组和观察组,各55例。对照组在血液透析治疗期...目的探讨协同护理模式对糖尿病肾病血液透析患者自我护理能力、生活质量及并发症的影响。方法选取2011年6月~2014年6月在该院接受血液透析治疗的糖尿病肾病患者110例为研究对象,随机分为对照组和观察组,各55例。对照组在血液透析治疗期间予以常规护理,观察组在对照组常规护理的基础上实施协同护理模式。自我护理能力通过自我护理能力测定量表(Exercise of Self-Care Agency Scale,ESCA)进行测评,生活质量通过生活质量量表(SF-36)进行测评,同时对血液透析治疗期间患者的并发症发生情况进行分析比较。结果观察组患者的生活质量评分高于对照组,差异有统计学意义(P<0.01)。观察组患者的自我护理能力评分高于对照组,差异有统计学意义(P<0.01)。观察组患者在血液透析治疗期间出现感染、心力衰竭、低血压等并发症的发生率均低于对照组,差异有统计学意义(均P<0.01-0.05)。结论在糖尿病肾病患者血液透析治疗期间实施协同护理模式能够增强患者的自我护理能力,改善患者的生活质量,并有助于降低并发症的发生率。展开更多
文摘The burden of diabetic foot disease(DFD) is expected to increase in the future. The incidence of DFD is still rising due to the high prevalence of DFD predisposing factors. DFD is multifactorial in nature; however most of the diabetic foot amputations are preceded by foot ulceration. Diabetic peripheral neuropathy(DPN) is a major risk factor for foot ulceration. DPN leads to loss of protective sensation resulting in continuous unconscious traumas. Patient education and detection of high risk foot are essential for the prevention of foot ulceration and amputation. Proper assessment of the diabetic foot ulceration and appropriate management ensure better prognosis. Management is based on revascularization procedures, wound debridement, treatment of infection and ulcer offloading. Management and type of dressing applied are tailored according to the type of wound and the foot condition. The scope of this review paper is to describe the diabetic foot syndrome starting from the evaluation of the foot at risk for ulceration, up to the new treatment modalities.
文摘目的探讨协同护理模式对糖尿病肾病血液透析患者自我护理能力、生活质量及并发症的影响。方法选取2011年6月~2014年6月在该院接受血液透析治疗的糖尿病肾病患者110例为研究对象,随机分为对照组和观察组,各55例。对照组在血液透析治疗期间予以常规护理,观察组在对照组常规护理的基础上实施协同护理模式。自我护理能力通过自我护理能力测定量表(Exercise of Self-Care Agency Scale,ESCA)进行测评,生活质量通过生活质量量表(SF-36)进行测评,同时对血液透析治疗期间患者的并发症发生情况进行分析比较。结果观察组患者的生活质量评分高于对照组,差异有统计学意义(P<0.01)。观察组患者的自我护理能力评分高于对照组,差异有统计学意义(P<0.01)。观察组患者在血液透析治疗期间出现感染、心力衰竭、低血压等并发症的发生率均低于对照组,差异有统计学意义(均P<0.01-0.05)。结论在糖尿病肾病患者血液透析治疗期间实施协同护理模式能够增强患者的自我护理能力,改善患者的生活质量,并有助于降低并发症的发生率。
