糖尿病足伤口处理中的护理风险及其相关性研究(1)
摘 要：目的 探讨影响糖尿病足伤口处理中护理风险的相关因素，为降低护理风险所采取的护理措施提供理论依据。方法 采用自行设计的一般资料调查表、护理风险表对在本院门诊就诊的79例2型糖尿病足患者进行问卷调查，并分析影响糖尿病足伤口处理中护理风险的相关因素。结果 护理差错缺陷率为0.62%，愈合率为88.61%，满意度为93.67%。患者年龄、文化程度、糖尿病治疗情况、对糖尿病足认识程度、就诊情况及伤口治疗情况与护理差错缺陷率、伤口愈合情况和满意度有相关性(P<0.05)；吸烟与伤口愈合情况有相关性(P<0.05)；并发糖尿病其它并发症与护理差错缺陷率有相关性(P<0.05)。结论 年龄越大、文化程度越低、不坚持糖尿病治疗、对糖尿病足认识模糊、有伤口不及时就诊和不坚持伤口治疗、吸烟及并发糖尿病其它并发症的糖尿病足患者护理风险高，在制定护理风险管理措施时，应根据患者具体情况，规避不利因素，以降低护理差错缺陷率、提高治愈率及患者的满意度。
关键词：糖尿病足；伤口；护理风险
, 百拇医药
中图分类号：R587.1；R473.5 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.13.034
文章编号：1006-1959(2018)13-0115-05
Abstract：Objective To explore the related factors affecting nursing risk in diabetic foot wound management and to provide theoretical basis for nursing measures to reduce nursing risk.Methods 79 patients with type 2 diabetic foot were investigated with self-designed general information questionnaire and nursing risk table，and the related factors affecting nursing risk in wound management of diabetic foot were analyzed.Results The nursing error defect rate was 0.62%，the healing rate was 88.61%，and the satisfaction rate was 93.67%.The patients’age，education，diabetes treatment，recognition of diabetic foot，treatment and wound treatment were correlated with the rate of nursing error defect， wound healing and satisfaction(P<0.05).There was a correlation between smoking and wound healing(P<0.05)，other complications associated with diabetes mellitus and the rate of nursing errors(P<0.05).Conclusion The older the age，the lower the level of education，the lack of adherence to diabetes treatment，the vague understanding of diabetic foot， the lack of timely treatment of wounds，and the persistence of wound treatment，smoking，and other complications of diabetes，are associated with high risk of care.When managing measures，the adverse factors should be avoided according to the specific conditions of the patients，so as to reduce the rate of nursing error defects，improve the cure rate and patient satisfaction.
, http://www.100md.com
Key words：Diabetic foot；Wound；Nursing risk
我国糖尿病发病人数约1亿人[1]，而大约15%的普通糖尿病患者可发生足部溃疡。糖尿病足是糖尿病严重的并发症之一，因周围神经功能异常、外周血管病变和感染的综合作用，导致足部溃疡形成和(或)深部組织的破坏[2]。同时糖尿病足伤口愈合困难，愈合时间长，尤其使难愈性伤口反复迁延不愈，加上伤口本身的复杂性、差异性，以及患者日益增加的个性化需求，使伤口护理潜在各种护理风险[3]。护理风险是指医院内患者在治疗护理过程中有可能发生的一切不安全事件因素[4]。目前关于护理风险的文章很多，但从影响护理风险的相关因子入手进行统计学分析的报道尚少，本研究分析糖尿病足伤口处理过程中影响护理风险的相关因子，进而采取安全有效的护理措施，以期提高糖尿病足患者伤口的治愈率及患者满意率，降低护理差错缺陷率，为建立比较完善的伤口护理风险管理体系提供理论依据。
1资料与方法
1.1研究对象 选取2015年3月～2017年12月在珠海市第二人民医院门诊就诊的79例2型糖尿病足患者，研究经医院伦理委员会批准通过。纳入标准：①符合1999年WHO制定的糖尿病诊断标准[5]的2型糖尿病患者；②符合定义[5]的糖尿病足患者，且Wagner分级为1级至3级者；③知情同意者。排除标准：①各种精神病患者及不同意参加调查者；②使用影响精神活动的药物；③患有免疫性疾病、肿瘤晚期或终末期疾病。, http://www.100md.com(谢勇琼 高金姣)
关键词：糖尿病足；伤口；护理风险
, 百拇医药
中图分类号：R587.1；R473.5 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.13.034
文章编号：1006-1959(2018)13-0115-05
Abstract：Objective To explore the related factors affecting nursing risk in diabetic foot wound management and to provide theoretical basis for nursing measures to reduce nursing risk.Methods 79 patients with type 2 diabetic foot were investigated with self-designed general information questionnaire and nursing risk table，and the related factors affecting nursing risk in wound management of diabetic foot were analyzed.Results The nursing error defect rate was 0.62%，the healing rate was 88.61%，and the satisfaction rate was 93.67%.The patients’age，education，diabetes treatment，recognition of diabetic foot，treatment and wound treatment were correlated with the rate of nursing error defect， wound healing and satisfaction(P<0.05).There was a correlation between smoking and wound healing(P<0.05)，other complications associated with diabetes mellitus and the rate of nursing errors(P<0.05).Conclusion The older the age，the lower the level of education，the lack of adherence to diabetes treatment，the vague understanding of diabetic foot， the lack of timely treatment of wounds，and the persistence of wound treatment，smoking，and other complications of diabetes，are associated with high risk of care.When managing measures，the adverse factors should be avoided according to the specific conditions of the patients，so as to reduce the rate of nursing error defects，improve the cure rate and patient satisfaction.
, http://www.100md.com
Key words：Diabetic foot；Wound；Nursing risk
我国糖尿病发病人数约1亿人[1]，而大约15%的普通糖尿病患者可发生足部溃疡。糖尿病足是糖尿病严重的并发症之一，因周围神经功能异常、外周血管病变和感染的综合作用，导致足部溃疡形成和(或)深部組织的破坏[2]。同时糖尿病足伤口愈合困难，愈合时间长，尤其使难愈性伤口反复迁延不愈，加上伤口本身的复杂性、差异性，以及患者日益增加的个性化需求，使伤口护理潜在各种护理风险[3]。护理风险是指医院内患者在治疗护理过程中有可能发生的一切不安全事件因素[4]。目前关于护理风险的文章很多，但从影响护理风险的相关因子入手进行统计学分析的报道尚少，本研究分析糖尿病足伤口处理过程中影响护理风险的相关因子，进而采取安全有效的护理措施，以期提高糖尿病足患者伤口的治愈率及患者满意率，降低护理差错缺陷率，为建立比较完善的伤口护理风险管理体系提供理论依据。
1资料与方法
1.1研究对象 选取2015年3月～2017年12月在珠海市第二人民医院门诊就诊的79例2型糖尿病足患者，研究经医院伦理委员会批准通过。纳入标准：①符合1999年WHO制定的糖尿病诊断标准[5]的2型糖尿病患者；②符合定义[5]的糖尿病足患者，且Wagner分级为1级至3级者；③知情同意者。排除标准：①各种精神病患者及不同意参加调查者；②使用影响精神活动的药物；③患有免疫性疾病、肿瘤晚期或终末期疾病。, http://www.100md.com(谢勇琼 高金姣)