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| Effect of evidence -based nursing model on blood glucose level，foot function recovery and neuropathy in patients with diabetic foot |
| HUANG Ying ZHOU Min▲ |
| Department of Endocrinolog and Metabolism, the Second Affiliated Hospital of Nanchang University |
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Abstract Objective To investigate the effect of evidence-based nursing model on blood glucose level，recovery of foot function and neuropathy in patients with diabetic foot(DF). Methods A total of 88 cases of patients with DF who were admitted to the Second Affiliated Hospital of Nanchang University from January 2018 to December 2019 were selected as the research subjects, and they were divided into two groups according to the random number table method, 44 cases in each group. The control group underwent routine nursing, while the observation group was given evidence-based nursing model. The blood glucose level, foot function, neuropathy and vascular disease of the two groups were compared. Results The fasting blood glucose, 2 h postprandial blood glucose, dorsalis pedis artery pulse, numbness of lower limb,foot pain and peripheral neuropathy in the observation group were (6.31±1.43)mmol/L, (7.50±1.71) mmol/L,(1.23±0.28) points, (0.85±0.17) points, (1.21±0.41) points, (4.74±0.85) points lower than those in the control group of(7.18±1.27) mmol/L, (8.89±1.38) mmol/L, (1.62±0.47) points, (1.22±0.40) points, (1.73±0.56) points, (5.59±1.37) points,after intervention for 1 month, and the differences were statistically significant (P<0.05). There were no statistically significant differences between the two groups in blood glucose level, foot function, neuropathy and vascular disease before intervention (P＞0.05). After 1 month of intervention, the blood glucose level, foot function and neuropathy of the two groups were lower than that before intervention, and the ankle-brachial index was higher than that before intervention, with statistical differences (P<0.05). Conclusion The evidence-based nursing model can decrease the blood glucose level of patients with DF, improve the foot function, alleviate the degree of peripheral nerve and vascular disease, and promote the recovery of patients.
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