Evaluation the effect of continuing nursing based on diabetic foot risk in type 2 diabetic patients / 中国实用护理杂志

ABSTRACT

Objective To establish the effects of the continuing nursing model for prevention of diabetic foot in patients with type 2 diabetics. Methods A total of 188 patients with type 2 diabetes were divided into high ankle-brachial index(ABI) group (ABI≥0.9) and low ABI group (ABI<0.9) with 94 cases each. High ABI group was divided into intervention group 1 and control group 1 and low ABI group was divided into intervention group 2 and control group 2 with 47 cases each by random digits table method. Finally intervention group 1 and intervention group 2 were combined into intervention group, control group 2 and control group 1 were combined into control group. Patients in control group were given usual care. Patients in intervention group could consult and communicate with specialized nurse in diabetic foot in Wechat, they were assessed by specialty nurse every 3 months. All the patients received intervention for 9 months. The effect of nursing were evaluated through Diabetic Foot Knowledge-Attitude-Practice(KAP) Questionnaire as well as glycosylated hemoglobin. Results After intervention, KAP scores of the knowledge, attitude, behavior and glycosylated hemoglobin was (93.73±25.88), (18.45±3.08), (38.06±6.43) points and (8.81 ± 2.24)% in intervention group, (93.34 ± 26.06), (18.23 ± 3.03), (37.73 ± 6.58) points and (9.46±2.33)% in control group, there was significant difference between two groups(t=-3.310-5.249, P<0.01). KAP score of knowledge was (94.02±30.58) points in intervention group 1 and (93.72±30.84) points in control group 1,KAP scores of the knowledge, attitude, behavior was (93.45 ± 20.47), (18.70 ± 3.10), (36.40 ± 5.89) points in intervention group 2 and (92.96 ± 20.54), (18.36 ± 3.07), (35.83 ± 6.20) points in control group 2, there was significant difference(t=2.092-3.251, P<0.05 or 0.01). The level of glycosylated hemoglobin was (8.97±2.85)% in intervention group 1 and (8.65±1.42)% in intervention group 2,(9.28± 2.97)% , (9.64 ± 1.44)% in control group 1 and control group 2, there was significant difference(t=2.376, 4.953, P<0.05 or 0.01). Conclusions The continuing nursing model is effective in preventing diabetic foot ulcers in patients with low and high ABI.