摘要
目的:分析多学科协作模式联合同伴支持对糖尿病足坏疽截肢患者自我防护意识、希望水平及生活质量的影响。方法:选取146例糖尿病足坏疽截肢患者为研究对象,2022年10月至2023年9月收治的58例患者给予常规临床干预,纳入对照组;2023年10月至2024年9月收治的88例患者给予多学科协作模式联合同伴支持干预,纳入观察组。比较两组患者自我防护意识、希望、应对方式和生活质量。结果:干预前,两组患者自我防护意识、希望量表、应对方式、生活质量评分无统计学差异(P>0.05)。干预后,观察组的自我认识、自我责任感、自护技能、健康知识水平评分,积极态度、行为态度、亲密关系评分,生理职能、生理功能、躯体症状、一般健康状况、精力、情感职能、心理健康、社会功能评分均高于对照组(P<0.05)。干预后,观察组的回避、屈服评分均低于对照组;面对评分高于对照组(P<0.05)。结论:多学科协作模式联合同伴支持干预能够在一定程度上改善糖尿病足坏疽截肢患者的自我防护意识、希望水平和应对方式,提高患者生活质量。
Objective:To analyze the effect of multidisciplinary cooperation mode and peer support on self-protection awareness,hope level and quality of life of amputees with diabetes foot gangrene.Methods:Retrospective analysis was used to study 146 amputees with foot gangrene of diabetes.Among them,58 patients from October 2022 to September 2023 were given routine clinical intervention and included in the control group,the remaining 88 patients from October 2023 to September 2024 were given multidisciplinary collaboration mode combined with peer support intervention and included in the observation group.Assess the self-protection awareness,hope,coping strategies,and quality of life were compared between the two groups.Results:There was no significant difference in the self-protection awareness score,hope scale score,coping style score,and quality of life score between the two groups before intervention(P>0.05).After intervention,the observation group had higher scores in self-awareness,self responsibility,self-protection skills,health knowledge level,positive attitude,excessive behavior,intimate relationship score,physiological function,physiological function,physical symptoms,general health status,energy,emotional function,mental health,and social function than the control group(P<0.05).After intervention,the avoidance and surrender scores of the observation group were lower than those of the control group,and the face score was higher than that of the control group(P<0.05).Conclusion:The multidisciplinary cooperation mode combined with peer support intervention can improve the self-protection awareness,hope level and coping style of amputees with diabetes foot gangrene to a certain extent,and then improve the quality of life.
作者
何小兰
何锦冰
何大兰
HE Xiao-lan;HE Jin-bing;HE Da-lan(Department of Orthopedics,Liyuan Hospital of Tongji Medical College of Huazhong University of Science and Technology,Wuhan 430077;Department of Anesthesiology,Yangchunhu Campus of Wuhan Central Hospital Affiliated to Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430014,Hubei,China)
出处
《川北医学院学报》
2025年第8期1084-1088,共5页
Journal of North Sichuan Medical College
关键词
糖尿病足坏疽
截肢
多学科协作模式
同伴支持
Diabetes foot gangrene
Amputation
Multidisciplinary collaboration model
Peer Support
作者简介
何小兰(1992-),女,护师。E-mail:h169058730@126.com;通讯作者:何大兰。E-mail:h925483945@163.com。
