| 封爱婷,杨思红,徐 笑,陆晓东,钱守莉.叙事医学模式结合看图对话工具在2型糖尿病高危足患者中的干预研究[J].中国烧伤创疡杂志,2019,31(6):394~399. |
| DOI： |
| 中文关键词: 叙事医学 看图对话 2 型糖尿病 糖尿病高危足 健康教育 效果 |
| 英文关键词:arrative medicine Conversation map Type 2 diabetes High-risk diabetic foot Health education Effect |
| 基金项目:江苏省连云港市中医院“赵化南”青年科技基金项目 |
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| 中文摘要: |
| 【摘要】 目的 研究叙事医学模式结合看图对话工具在2 型糖尿病高危足患者中的应用效果?方法 选取2017 年11 月至2018 年11 月连云港市中医院糖尿病科收治的80 例2 型糖尿病高危足患者作为研究对象, 并按照随机数表法将其随机分为观察组(40 例) 与对照组(40 例), 其中观察组患者采用叙事医学模式结合看图对话工具进行健康教育, 对照组患者采用传统授课方式进行健康教育, 对比观察两组患者足趾畸形?甲沟炎?足麻木?足皲裂等发生情况, 温度觉?振动觉?压力觉?痛觉与下肢动脉血流异常情况, 以及焦虑自评量表(self-rating anxiety scale, SAS) 评分和抑郁自评量表(self-rating depression scale, SDS) 评分?结果 护理干预后, 观察组患者甲沟炎与足皲裂发生例数较对照组明显减少, 差异具有统计学意义(χ2 = 5.591?5.952, P = 0.018?0.015), 温度觉?振动觉?压力觉?痛觉与下肢动脉血流异常发生例数均明显少于对照组, 差异具有统计学意义(χ2 =6.054?8.455?6.146?4.114?6.146, P =0.014?0.004?0.013?0.043?0.013); 护理干预后, 观察组患者SAS 评分及SDS 评分均明显低于对照组, 差异具有统计学意义(t =3.629?13.559, P =0.001?0.001), 且两组患者SAS 评分及SDS 评分与干预前相比均显著降低, P 均<0.05, 差异具有统计学意义?结论 叙事医学模式结合看图对话工具能够有效改善2 型糖尿病高危足患者的足部相关症状, 缓解其焦虑?抑郁情绪? |
| 英文摘要: |
| 【Abstract】 Objective To study the application effect of narrative medicine mode combined with conversation map in patients with high-risk type 2 diabetic foot. Methods Eighty patients with high-risk type 2 diabetic foot, admitted to the Department of Diabetes, Lianyungang Hospital of Chinese Medicine from November 2017 to November 2018, were divided,according to the random number table, into an observation group (40 cases) and a control group (40 cases). The patients in the observation group were given narrative medicine mode combined with conversation map for health education whereas the patients in the control group were managed with the traditional teaching method for health education. The following indicators including the occurrence of toe deformity, paronychia, foot numbness and foot rhagades, abnormalities of temperature sensation, vibration sensation, pressure sensation, pain sensation and lower extremity arterial blood flow, as well as self-rating anxiety scale (SAS) score and self-rating depression scale (SDS) score were observed and compared between the two groups. Results After the nursing intervention, the numbers of cases with paronychia and foot rhagades in the observation group were reduced more markedly than that in the control group and the differences were statistically significant (χ2 =5.591 and 5.952 respectively, P =0.018 and 0.015 respectively); the numbers of cases with abnormities of temperature sensation, vibration sensation, pressure sensation, pain sensation and lower extremity arterial blood flow in the observation group were all obviously less than that in the control group and also all the differences were statistically significant (χ2 =6.054, 8.455, 6.146, 4.114 and 6.146 respectively, P =0.014, 0.004, 0.013, 0.043 and 0.013 respectively). After the nursing intervention, the SAS score and SDS score in the observation group were both markedly lower than that in the control group and the differences showed statistical significance (t =3.629 and 13.559 respectively, P =0.001 and 0.001 respectively). And moreover, the SAS score and SDS score in the two groups after the nursing intervention were significantly lower as compared to the corresponding scores before the nursing intervention, which showed statistically significant differences (P <0.05). Conclusion Narrative medicine model combined with conversation map can significantly alleviate the foot symptoms of patients with high-risk type 2 diabetic foot and relieve their mood of anxiety and depression. |
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