Objective To explore the application value of the risk management strategies in diabetic foot replacement care.
Methods A total of 116 patients with diabetic foot disease were selected, and randomly divided into the control group and observation group (58 cases each group).The control group was nursed with routine dressing care, and the observation group was nursed with the risk management strategy.The levels of blood glucose in two groups between before and after nursing were compared.The therapeutic effects(including the blood glucose control time, wound healing time, dressing duration and length of stay), care compliance and incidence rate of nursing-related risk events were compared between two groups.
Results Before nursing, the differences of the levels of fasting plasma glucose and postprandial 2 h blood glucose between two groups were not statistically significant(P < 0.05).After nursing, the levels of fasting plasma glucose and postprandial 2 h blood glucose in observation group were significantly lower than those in control group(P < 0.01), and the levels of fasting plasma glucose and postprandial 2 h blood glucose in two groups significantly decreased compared with before nursing(P < 0.01).The blood sugar control time and wound healing time in observation group were significantly lower than those in control group, and the duration of dressing in observation group was significantly higher than that in control group(P < 0.01).The compliance of nursing in observation group was significantly better than that in control group(P < 0.05).The wound infection in observation group was less than that in control group(P < 0.05).
Conclusions The application of the risk management strategy in diabetic foot dressing care can not only effectively reduce the blood glucose level of diabetic patients, but also improve the rehabilitation efficiency of patients and reduce the incidence of adverse reactions in the nursing process.It is worthy of clinical promotion and application.
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