精细化护理干预在老年糖尿病足患者中的应用效果摘要目的:这个研究想要看看精细化护理干预对老年糖尿病足患者有没有用。方法:选了2024年10月到2025年3月在阜外医院住院的80个老年糖尿病足患者。把他们随机分成两组,一组叫对照组,一组叫实验组,每组都有40个人。对照组用普通的护理方法,实验组用精细化护理干预。然后对比两组患者的血糖控制得怎么样、脚上溃疡愈合得好不好、生活质量怎么样,还有对护理的满意程度。结果:护理之后,实验组患者空腹时的血糖、吃完饭2小时后的血糖,都比对照组低很多(P<0.05)。实验组患者脚上溃疡愈合的时间,比对照组短很多(P<0.05)。而且实验组患者的生活质量评分、对护理的满意程度,都比对照组高很多(P<0.05)。结论:精细化护理干预能让老年糖尿病足患者的血糖控制得更好,让脚上的溃疡好得更快,能减轻脚的不舒服。还能让患者生活质量提高,对护理工作更满意。关键词:老年糖尿病足;精细化护理;血糖水平:伤口护理;应用效果ABSTRACTObjective:This study aims to explore the application effect of refined nursing interventionin elderly patients with diabetic foot.Methods:A total of 80 elderly patients with diabetic footadmitted to Fuwai Hospital from October 2024 to March 2025 were selected as the researchsubjects and randomly divided into a control group and an experimental group,with 40 cases ineach group.The control group received routine care,while the experimental group receivedrefined nursing intervention.The blood glucose control,foot ulcer healing,and nursingsatisfaction of the two groups were compared.Results:After the intervention,the fasting bloodglucose and 2-hour postprandial blood glucose levels of the experimental group weresignificantly lower than those of the control group (P<0.05),the healing time of foot ulcers wassignificantly shorter than that of the control group(P<0.05),and the nursing satisfaction wassignificantly higher than that of the control group (P<0.05).Conclusion:Refined nursingintervention can effectively improve blood glucose control in elderly patients with diabetic foot,promote the healing of foot ulcers,alleviate foot discomfort,and enhance the quality of life andsatisfaction with nursing work of the patients.Key words:Elderly diabetic foot;Fine nursing;Blood glucose level;Wound care;Applicationeffect目录第1章]引言.…1.】研究背景.1.2研究目的.21.3研究意义.21.4研究的内容和方法.21.4.1研究内容21.4.2研究方法…..31.5研究现状、范围31.6研究创新点….3第2章资料与方法..42.1研究对象….42.2研究方法.42.3观察指标.52.4统计学方法.6第3章结果.73.1两组患者血糖控制指标比较.73.2两组患者足部溃疡愈合情况比较.73.3两组患者生活质量比较.3.4两组患者满意度比较…8第4章讨论.….94.1精细化护理干预对老年糖尿病足患者血糖控制的影响.94.2精细化护理干预对老年糖尿病足患者足部溃疡愈合的影响94.3精细化护理干预对老年糖尿病足患者生活质量的影响.94.4精细化护理干预对老年糖尿病足患者护理满意度的影响10结论参考文献.12致谢13附录.14附录A…14附录B.15附录C………16附录D25附录E…27e
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