EL-Fayoum综合医院老年糖尿病患者足部溃疡预防指南项目

Sahar R.A.E.H., Afaf S.A.E., Amal I.F., Aliaa M.O.E.
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摘要

背景:糖尿病足溃疡是糖尿病的严重并发症,是老年糖尿病患者发病和死亡的主要原因,良好的预防指导方案可以抑制糖尿病足溃疡及其并发症的发生。目的:本研究旨在评估EL- Fayoum总医院老年糖尿病患者足部溃疡预防指南方案的效果。研究设计:本研究采用准实验研究设计。环境:本研究在EL- Fayoum总医院内科门诊进行。研究对象:选择300例老年糖尿病患者为目的样本。数据收集工具:使用了两种数据收集工具。工具一:结构化访谈问卷,包括老年患者的人口学特征、既往及当前病史、知识评估问卷、患者自述实践问卷。第二种工具:评估足部溃疡风险的观察性检查表包括神经性足部评估和周围血管评估。结果:前测与后测相比,总知识、良好成绩和满意的报告实践分别有显著提高(7% ~ 85.3%)和(40.3% ~ 93.30%)。此外,神经足总项目和左右外周血管总项目的前测与后测相比,分别为(14.23±3.004至16.97±1.800)、(11.38±2.57至12.22±2.11)和(11.32±2.63至12.15±2.14),具有高度统计学意义的改善。结论:本研究认为,应用足部溃疡预防指南方案后,老年糖尿病患者的知识水平、报告实践水平和足部溃疡风险量表均有提高。建议:关于老年糖尿病患者足部溃疡预防的定期预防指南计划和减少会议。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Foot Ulcer Prevention Guideline Program for Elderly Diabetic Patients at EL - Fayoum General Hospital
Background: Diabetic foot ulcer is a serious complication of diabetes and a major cause of morbidity and mortality among diabetic elderly patients, and good prevention guideline programs will inhibit the diabetic foot ulcer and further complication. Aims: This study aimed to evaluate the effect of a foot ulcer prevention guideline program for elderly diabetic patients at EL- Fayoum General Hospital. Research design: A quasi-experimental research design was used to utilize this study. Setting: The study was conducted at the medicine outpatient clinic in EL- Fayoum General Hospital. Subjects: A purposive sample was used to choose 300 elderly diagnosed with diabetes. Tools for data collection: Two tools for data collection were used. 1st tool: Structured interviewing questionnaire included demographic characteristics of elderly patients, past and current medical history, knowledge assessment questionnaire, patients reported practice questionnaire. 2nd tool: Observational checklist to assess foot ulcer risk included neurological foot assessment and peripheral vascular assessment. Results: It was revealed that there was a highly statistically significant improvement in total knowledge, good score and satisfactory reported practice represented as (7% to 85.3%) and (40.3% to 93.30%) respectively pretest versus posttest. In addition, there was a highly statistically significant improvement in total neurological foot items and total right and left peripheral vascular items represented as (14.23±3.004 to 16.97±1.800), (11.38±2.57 to 12.22±2.11) and (11.32±2.63 to 12.15±2.14) respectively pretest versus posttest. Conclusion: The current study concluded that after applying the foot ulcer prevention guideline program, level of knowledge, reported practice and foot ulcer risk scale of elderly diabetic patients improved. Recommendation: Periodic prevention guideline program and reduction sessions regarding the prevention of foot ulcer in diabetic elderly patients.
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