[1]李秋萍,韩斌如,李梦文,等.专科护士视角下糖尿病足患者疾病管理中的问题及对策分析[J].解放军护理杂志,2021,38(05):17-20.[doi:10.3969/j.issn.1008-9993.2021.05.005]
 LI Qiuping,HAN Binru,LI Mengwen,et al.Problems of Self-Management in Diabetic Foot Patients from the Perspective of Specialist Nurses and Its Countermeasures[J].Nursing Journal Of Chinese People’s Laberation Army,2021,38(05):17-20.[doi:10.3969/j.issn.1008-9993.2021.05.005]
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专科护士视角下糖尿病足患者疾病管理中的问题及对策分析()
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《解放军护理杂志》[ISSN:2097-1826/CN:31-3186/R]

卷:
38
期数:
2021年05期
页码:
17-20
栏目:
论著
出版日期:
2021-05-15

文章信息/Info

Title:
Problems of Self-Management in Diabetic Foot Patients from the Perspective of Specialist Nurses and Its Countermeasures
文章编号:
1008-9993(2021)05-0017-04
作者:
李秋萍1韩斌如1李梦文2王艺颖3王威3王涵2
1.首都医科大学宣武医院 护理部,北京 100053; 2.首都医科大学 护理学院,北京 100069; 3.首都医科大学宣武医院 糖尿病足护理工作室
Author(s):
LI Qiuping1HAN Binru1LI Mengwen2WANG Yiying3WANG Wei3WANG Han2
1.Department of Nursing,Xuanwu Hospital,Capital Medical University,Beijing 100053,China; 2.School of Nursing,Capital Medical University,Beijing 100069,China; 3.Diabetic Foot Care Studio,Xuanwu Hospital,Capital Medical University
关键词:
专科护士 糖尿病足 问题 对策
Keywords:
Specialist nurses diabetes foot problems countermeasures
分类号:
R473.58
DOI:
10.3969/j.issn.1008-9993.2021.05.005
文献标志码:
A
摘要:
目的 从专科护士视角深入了解糖尿病足患者在疾病管理中存在的问题,并提出针对性的干预对策。方法 采用现象学中内容分析法对10名伤口专科护士进行半结构访谈,运用Colaizzi分析法进行资料分析。结果 共形成3个主题:患者疾病管理配合度不佳、疾病专业诊疗待完善及家庭社会支持欠缺等。结论 医护人员应重视糖尿病足患者存在的问题,通过针对性的健康教育策略、完善的糖尿病足多学科诊疗团队、充足的家庭社会支持等对策,加强疾病管理,控制糖尿病足患者的疾病进展,改善其生活质量。
Abstract:
Objective To understand the problems of disease management in diabetic foot patients from the perspective of specialist nurses,and put forward the countermeasures.Methods The content analysis method in phenomenology was used to conduct semi-structured interviews with 10 wound specialist nurses,and data analysis was conducted by Colaizzi analysis.Results A total of 3 themes were formed,including poor coordination in disease management of patients,insufficient professional diagnosis and treatment,and lack of family and social support.Conclusions Medical staff should pay more attention to the problems of diabetic foot patients. In order to strengthen disease management,control the disease progression in diabetic foot patients,and improve their quality of life,medical staff should carry on the targeted health education,improve the multidisciplinary team of diabetic foot,and give adequate family social support.

参考文献/References:

[1] 许樟荣.糖尿病足病的诊治与预防[J].中华损伤与修复杂志(电子版),2014,9(2):118-122.
[2] XU Z,RAN X.Diabetic foot care in China:challenges and strategy[J].The Lancet Diabetes & Endocrinology,2016,4(4):297-298.
[3] ZHANG P,LU J,JING Y,et al.Global epidemiology of diabetic foot ulceration:a systematic review and meta-analysis(dagger)[J].Ann Med,2017,49(2):106-116.
[4] 中华医学会糖尿病学分会,中华医学会感染病学分会,中华医学会组织修复与再生分会,等.中国糖尿病足防治指南(2019版)(Ⅰ)[J].中华糖尿病杂志,2019(2):92-93.
[5] 李饶,袁丽,郭晓蕙,等.中国2型糖尿病患者足部护理知识和足部自我护理行为现状及影响因素的研究[J].中华护理杂志,2014,49(8):909-913.
[6] 万霞,谈静,樊春华,等.住院糖尿病患者对胰岛素注射技能需求的质性研究[J].国际护理学杂志,2016,35(5):655-658.
[7] 丁飚,张妮娜,卢逢娣,等.2型高危糖尿病足病人糖尿病知识的认知状况及其影响因素[J].护理研究,2016,30(13):1595-1599.
[8] 王芳,张留巧,蒋运兰,等.糖尿病病人足部预防护理知识与行为状况的调查研究[J].护理研究,2010,24(3):197-199.
[9] 周丽欢,周秋红,许景灿,等.糖尿病足患者三级甲等医院专业诊疗中心就诊前的诊治状况及影响因素分析[J].中国普通外科杂志,2020,29(3):355-362.
[10]SOUSA D.Validation in qualitative research:general aspects and specificities of the descriptive phenomenological method[J].Qualitat Res Psychol,2014,11(2):211-227.
[11]季丽娟.糖尿病足患者治疗依从性的影响因素及护理干预效果[J].实用临床医药杂志,2016,20(22):154-155,164.
[12]齐梦影,龙飞艳,肖倩,等.糖尿病足患者居家自我管理认知及体验的质性研究[J].解放军护理杂志,2019,36(7):24-27.
[13]张娟.初诊2型糖尿病患者自我管理的真实体验及护理需求[D].武汉:武汉轻工大学,2017.
[14]许樟荣.多学科合作、专业化处治,预防为主,加强糖尿病足病防治[J].中华糖尿病杂志,2013,5(6):321-323.
[15]王飞英,杨莹.基层医疗机构糖尿病足诊治中存在的问题及对策[J].中华糖尿病杂志,2017,9(6):403-405.
[16]PAISEY R B,ABBOTT A,LEVENSON R,et al.Diabetes-related major lower limb amputation incidence is strongly related to diabetic foot service provision and improves with enhancement of services:peer review of the South-West of England[J].Diabetic Medicine,2018,35(1):53-62.
[17]LIM J Z M,NG N S L,THOMAS C.Prevention and treatment of diabetic foot ulcers[J].J Royal Soc Med,2017,110(3):104-109.
[18]VILEIKYTE L,PEYROT M,GONZALEZ J S,et al.Predictors of depressive symptoms in persons with diabetic peripheral neuropathy:a longitudinal study[J].Diabetologia,2009,52(7):1265-1273.
[19]李微,吴志昊,李远远,等.糖尿病足患者焦虑抑郁的相关性研究[J].牡丹江医学院学报,2020,41(1):50-52.
[20]VILEIKYTE L,POUWER F,GONZALEZ J S.Psychosocial research in the diabetic foot:are we making progress?[J].Diabet Metab Res Rev,2020,36 Suppl 1:e3257.

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备注/Memo

备注/Memo:
【 收稿日期 】 2021-01-08 【 修回日期 】 2021-04-02
【 基金项目 】 北京市西城区财政科技专项项目(XCSTS-SD2020-12)
【 作者简介 】 李秋萍,硕士,护师,从事老年慢病护理研究
【 通讯作者 】 韩斌如,电话:010-83198958
更新日期/Last Update: 2021-05-15