糖尿病足溃疡手术患者非负重运动管理方案的构建与应用
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女,硕士,主管护师

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海南省院士创新平台科研项目资金资助(YSPTZX202028);海南省自然科学基金资助项目(824RC548)


Construction and application of nonweightbearing exercise management program for patients undergoing diabetic foot ulcer surgery
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    摘要:

    目的 构建并应用糖尿病足溃疡手术患者非负重运动管理方案以改善此类患者临床结局。方法 将90例糖尿病足溃疡手术患者按照入院时间分为对照组和干预组,每组45例。对照组接受常规护理、糖尿病足局部伤口处理及随访管理。在此基础上,干预组实施基于最佳证据构建的糖尿病足溃疡术后非负重运动管理方案。结果 干预4周干预组空腹血糖显著低于对照组,踝肱指数、自我管理能力和日常生活能力显著高于对照组(均P<0.05)。干预组术后不良事件发生率低于对照组,但两组比较差异无统计学意义(均P>0.05)。结论 基于最佳证据构建的糖尿病足溃疡手术患者非负重运动管理方案可改善下肢局部血运、降低血糖水平,提高患者自我管理能力和日常生活能力。

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    Objective To construct and apply a non-weight-bearing exercise management program for patients undergoing diabetic foot ulcer surgery, and to improve patient outcomes.Methods A total of 90 patients to receive diabetic foot ulcer surgery were divided into 2 groups, with 45 cases in each group.The control group received routine nursing, local wound treatment and follow-up management.On this basis, the intervention group was subjected to a postoperative non-weight-bearing exercise management program for diabetic foot ulcers, developed based on the best available evidence.Results After 4 weeks of intervention, the fasting blood glucose level in the intervention group was significantly lower than that of the control group, while the ankle-brachial index, self-management ability, and activities of daily living were significantly higher than those in the control group (all P<0.05).The incidence of postoperative adverse events in the intervention group was lower than that in the control group, but the difference between the two groups was not statistically significant (all P>0.05).Conclusion The non-weight-bearing exercise management program developed based on the best evidence for patients undergoing diabetic foot ulcer surgery can improve local blood circulation in the lower limbs, reduce blood glucose levels, and enhance patients′ self-management skills and activities of daily living.

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梁萍,潘南芳,潘云川,林萍,林志琥,李际洪,黄良燕.糖尿病足溃疡手术患者非负重运动管理方案的构建与应用[J].护理学杂志,2025,(17):82-87

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  • 收稿日期:2025-03-17
  • 最后修改日期:2025-06-23
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  • 在线发布日期: 2025-10-10