本文選題：《圖文式感染防范手冊(cè)》 + 糖尿病足�。� 參考：《中華醫(yī)院感染學(xué)雜志》2017年09期

【摘要】：目的探討《圖文式感染防范手冊(cè)》對(duì)糖尿病足患者感染的預(yù)防控制效果,為臨床治療提供參考依據(jù)。方法選取2011年3月-2016年3月在醫(yī)院內(nèi)分泌科住院治療的糖尿病足患者486例,隨機(jī)分為對(duì)照組和觀察組,各243例,對(duì)照組患者給予常規(guī)宣講,觀察組患者給予患者版的《圖文式感染防范手冊(cè)》教育宣講,宣講7d后,比較兩組患者繼發(fā)性感染率、對(duì)糖尿病足患者感染相關(guān)知識(shí)的掌握程度、足部干預(yù)行為的改變、統(tǒng)計(jì)糖尿病足患者主要感染病原菌的分布以及繼發(fā)感染病原菌的分布。結(jié)果觀察組患者的繼發(fā)感染率為0.8%,顯著低于對(duì)照組的6.6%;觀察組潰瘍面愈合時(shí)間(19.7±5.1)d和住院時(shí)間(21.9±4.8)d均顯著短于對(duì)照組,差異均有統(tǒng)計(jì)學(xué)意義(P0.05);對(duì)照組繼發(fā)感染病原菌以革蘭陰性菌為主,12株;觀察組繼發(fā)感染病原菌2株,均為革蘭陰性菌;觀察組患者的感染相關(guān)知識(shí)的評(píng)分高于對(duì)照組;觀察組患者足部干預(yù)行為改變的比例高于對(duì)照組,差異均有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論將《圖文式感染防范手冊(cè)》應(yīng)用于糖尿病足患者感染的預(yù)防控制過程中,可以有效地降低繼發(fā)感染、縮短住院時(shí)間、提升感染相關(guān)知識(shí)評(píng)分以及改變?nèi)粘Ｗ悴扛深A(yù)行為,值得臨床推廣。
[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 鹵5.1 days and the hospitalization time was 21.9 鹵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.
【作者單位】： 重慶市人民醫(yī)院內(nèi)分泌科;
【分類號(hào)】：R587.2

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