一个出院规划计划计划,以防止在台湾糖尿病足患者中感染:一个随机对照试验研究
Yen-Fan Chin1, Jiun-Ting Yeh2, Hsing-Yi Yu3
1School of Nursing, College of Medicine, Chang Gung University, Taiwan, 33302; Division of Endocrinology and Metabolism, New Taipei Municipal Tu-Cheng Hospital, New Taipei, Taiwan.
Journal of tissue viability
|April 25, 2025
概括
动机面试改善了糖尿病相关的足患者在出院后的自我护理行为. 然而,这种干预措施并没有显著降低感染或再接收率,这表明需要进一步研究.
科学领域:
- 糖尿病管理和伤口护理
- 公共卫生和患者的结果.
- 在医疗保健中的行为科学.
背景情况:
- 患有糖尿病足 (DFU) 的住院患者因伤口感染而面临高再入院率.
- 治疗DFU感染会产生相当大的医疗保健费用.
研究的目的:
- 评估动机面试 (MI) 出院规划计划对预防DFU患者感染的影响.
- 评估MI对足部自我护理和DFU自我管理行为的影响.
主要方法:
- 一个随机对照试验,涉及132名住院的成人患者DFU在台湾.
- 患者被随机分配到MI干预组或常规护理控制组.
- 收集了关于自我护理行为和感染状态的数据,并使用考克斯回归和通用估计方程 (GEE) 进行了分析.
主要成果:
- 与对照组相比,激励性采访显著改善了患者在出院后的一般足部自我护理行为.
- 在心脏病发作和对照组之间,没有发现足部感染或医院再入院率的统计学上显著差异.
- 特定于DFU的自我管理行为在MI干预后没有显示出统计学上显著的改善.
结论:
- 激励面试有效地提高了DFU患者的一般足部自我护理行为.
- 需要进一步的研究,以制定有效地减少该患者群体中出院后感染和住院的策略.
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