糖尿病足患者实施《图文式感染防范手册》宣教对感染的预防效果评价

发布时间：2018-06-18 06:19

本文选题：《图文式感染防范手册》 + 糖尿病足　；参考：《中华医院感染学杂志》2017年09期

【摘要】：目的探讨《图文式感染防范手册》对糖尿病足患者感染的预防控制效果,为临床治疗提供参考依据。方法选取2011年3月-2016年3月在医院内分泌科住院治疗的糖尿病足患者486例,随机分为对照组和观察组,各243例,对照组患者给予常规宣讲,观察组患者给予患者版的《图文式感染防范手册》教育宣讲,宣讲7d后,比较两组患者继发性感染率、对糖尿病足患者感染相关知识的掌握程度、足部干预行为的改变、统计糖尿病足患者主要感染病原菌的分布以及继发感染病原菌的分布。结果观察组患者的继发感染率为0.8%,显著低于对照组的6.6%;观察组溃疡面愈合时间(19.7±5.1)d和住院时间(21.9±4.8)d均显著短于对照组,差异均有统计学意义(P0.05);对照组继发感染病原菌以革兰阴性菌为主,12株;观察组继发感染病原菌2株,均为革兰阴性菌;观察组患者的感染相关知识的评分高于对照组;观察组患者足部干预行为改变的比例高于对照组,差异均有统计学意义(P0.05)。结论将《图文式感染防范手册》应用于糖尿病足患者感染的预防控制过程中,可以有效地降低继发感染、缩短住院时间、提升感染相关知识评分以及改变日常足部干预行为,值得临床推广。
[Abstract]:Objective to explore the effect of prevention and control of diabetic foot infection in the manual of graphic and text infection prevention, and to provide reference for clinical treatment. Methods from March 2011 to March 2016, 486 patients with diabetic foot were randomly divided into two groups: control group (243 cases) and observation group (243 cases). The patients in the observation group were given the "picture-text infection prevention manual" for 7 days. After 7 days of education, the secondary infection rate, the degree of knowledge about infection of diabetic foot patients and the change of foot intervention behavior were compared between the two groups. The distribution of the main pathogenic bacteria and the secondary pathogenic bacteria in diabetic foot patients were analyzed. Results the secondary infection rate of the patients in the observation group was 0.8, which was significantly lower than that in the control group, and the healing time of ulcer surface in the observation group was 19.7 卤5.1 days and the hospitalization time was 21.9 卤4.8 days, which was significantly shorter than that in the control group. The difference was statistically significant (P 0.05); in the control group, 12 strains were Gram-negative bacteria, 2 strains were Gram-negative bacteria in the observation group, and the scores of infection related knowledge in the observation group were higher than those in the control group. The proportion of foot intervention behavior in the observation group was higher than that in the control group, and the difference was statistically significant (P 0.05). Conclusion the application of "picture-text infection prevention manual" to the prevention and control of diabetic foot infection can effectively reduce secondary infection, shorten hospital stay, improve the score of infection related knowledge and change the daily intervention behavior of foot. It is worth popularizing in clinic.
【作者单位】：重庆市人民医院内分泌科;
【分类号】：R587.2

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