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目的探讨自我管理模式在糖尿病足预防中的应用效果。方法将62例糖尿病患者随机分为研究组和对照组。对照组给予常规糖尿病基本知识教育,研究组在对照组常规教育的基础上,进行自我管理教育,并定期门诊复诊。比较干预前和干预6个月时,两组患者糖尿病足预防知识的掌握情况、足部自我管理状况、足部皮肤及供血状况。结果干预前两组患者各项比较差异无统计学意义;干预6个月时,研究组患者糖尿病足预防知识显著高于对照组,P﹤0.01;研究组足部自我管理状况显著高于对照组,P均﹤0.01;研究组足部皮肤干燥、皲裂,足麻木感,足部皮肤发凉状况明显改善,与对照组比较,P﹤0.01或P﹤0.05。结论自我管理模式可以解决目前糖尿病患者糖尿病足预防知识知晓率低、足部自我管理水平低的现状,可以有效地改善糖尿病患者足部皮肤及供血状况,预防糖尿病足的发生。
Objective To explore the effect of self-management in the prevention of diabetic foot. Methods 62 cases of diabetic patients were randomly divided into study group and control group. The control group was given routine diabetes basic education, and the research group conducted self-management education on the basis of routine education in the control group, and regular outpatient referral. Before intervention and intervention 6 months, two groups of patients with knowledge of prevention of diabetic foot control, foot self-management, foot skin and blood supply. Results There was no significant difference between the two groups before intervention. At 6 months after intervention, the preventive knowledge of diabetic foot in study group was significantly higher than that in control group (P <0.01), and the self-management of foot in study group was significantly higher than that in control group , P <0.01 respectively. The study group had dry skin, chapped feet and numbness of the foot, and the skin of the feet was significantly cold. Compared with the control group, P <0.01 or P <0.05. Conclusion The self-management mode can solve the current situation of low awareness of prevention knowledge of diabetic foot and low level of self-management of foot in diabetic patients, which can effectively improve the foot skin and blood supply of diabetic patients and prevent the occurrence of diabetic foot.