基于VAS评分改进的护理模式对糖尿病足患者的影响(1)
摘 要：目的 探讨视觉模拟评分在糖尿病足患者护理中的应用效果。方法 选取2016年1月～2017年3月对84例糖尿病足患者进行常规护理的同时采用VAS量表进行疼痛评分，根据评分结果给予及时有效的护理，观察患者护理干预前后疼痛程度、血糖达标率以及满意度情况。结果 干预后患者疼痛症状1～3分者占64.29%，4～6分者占29.76%，7～9分者占5.95%，无疼痛症状10分者，疼痛程度较干预前减轻，差异具有统计学意义(P<0.05)。干预后血糖达标率和满意度分别为85.71%和94.27%，均高于干预前的8.33%和65.12%，差异具有统计学意义(P<0.05)。结论 采用VAS评分改进的护理模式，可以有效改善糖尿病足患者的疼痛症状，控制血糖水平，提高其生活质量。
关键词：VAS评分;糖尿病足;疼痛
中图分类号：R473.5 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.16.055
文章编号：1006-1959(2018)16-0172-03
Effect of Improved Nursing Model Based on VAS Score on Patients with Diabetic Foot
GUO Yan-qing，CHEN Si-ping，HE Li-juan，PENG Fang-yi
(Department of Endocrinology，Pingxiang People's Hospital，Pingxiang 337055，Jiangxi，China)
Abstract：Objective To investigate the effect of visual analogue scale on the nursing of patients with diabetic foot.Methods From January 2016 to March 2017，84 patients with diabetic foot were treated with routine care，and the VAS scale was used for pain score.According to the score results，timely and effective nursing was given，and the degree of pain，blood glucose compliance rate and satisfaction were observed before and after the patient's nursing intervention.Results After intervention，patients with pain symptoms 1 to 3 points accounted for 64.29%，4 to 6 points accounted for 29.76%，7 to 9 points accounted for 5.95%，and those without pain symptoms scored 10 points.The degree of pain was less than before intervention，the difference was statistically significant(P<0.05).The compliance rate and satisfaction of blood glucose after intervention were 85.71% and 94.27%，respectively，which were higher than 8.33% and 65.12% before intervention，the difference was statistically significant(P<0.05).Conclusion The improved nursing mode with VAS score can effectively improve the pain symptoms of diabetic foot patients，control blood sugar levels and improve their quality of life.
Key words：VAS score;Diabetic foot;Pain
糖尿病足(diabetic foot，DF)是糖尿病的一種常见并发症，是糖尿病患者致残的重要原因，糖尿病患者大约有12%～25%会罹患糖尿病足病[1]。足部疼痛是糖尿病足病的重要表现，临床上糖尿病足患者疼痛的治疗经常会被忽视。研究表明[2]，对糖尿病足溃疡伴有疼痛的患者，其疼痛症状不仅不利于伤口的愈合，也严重影响了该类患者的生活质量，患者极易出现睡眠不佳、情绪不稳等现象，给护理工作带来一定的困难。另外，疼痛也会影响患者血糖的控制，而患者血糖控制不佳同样会影响糖尿病足的恢复。所以，糖尿病足患者的疼痛护理显得尤为关键。我科采用基于视觉模拟评分(VAS)改进的护理模式对糖尿病足患者进行护理分析，现报告如下。(郭燕青 陈四萍 何丽娟 彭方依)