|
|
|
| Application Effect of Transitional Care Based on Triangle Hierarchical Management Model for Chronic Diseases in Patients with Diabetic Foot |
| HE Yilei |
| Department of Peripheral Vascular Diseases, Zhumadian Hospital of Traditional Chinese Medicine, Zhumadian Henan 463000 |
|
|
|
|
Abstract 【Objective】 To explore the application effect of transitional care based on the Triangle hierarchical management model for chronic diseases in patients with diabetic foot. 【Methods】 A total of 98 patients with diabetic foot admitted to our hospital from January 2022 to February 2024 were selected and divided into an observation group(transitional care based on the Triangle hierarchical management model for chronic diseases) and a control group(routine care) using the random number table method, with 49 cases in each group. The scores of the Diabetes Foot Self-Care Questionnaire-University of Malaga(DFSQ-UMA), Summary of Diabetes Self-Care Activities(SDSCA), Diabetes Specific Quality of Life Scale(DSQL), and the incidence of diabetic foot ulcers were compared between the two groups before intervention and 3 months after intervention. 【Results】 Three months after intervention, the scores of each dimension of DFSQ-UMA and SDSCA in the observation group were significantly higher than those in the control group(P<0.05), while the scores of each dimension of DSQL and the incidence of foot ulcers were significantly lower than those in the control group(P<0.05). 【Conclusion】 Transitional care based on the Triangle hierarchical management model for chronic diseases can significantly improve the self-care ability, self-management behavior and quality of life of patients with diabetic foot, and reduce the incidence of diabetic foot ulcers, thus effectively improving the therapeutic effect and quality of life of patients with diabetic foot.
|
|
Received: 25 July 2025
|
|
|
|
|
|
[1] 詹师,杨召伍,陈山,等. 糖尿病足感染病原微生物分布及风险预测模型的建立[J].中国现代医学杂志,2023,33(10):95-100.
[2] 张英英,胡迪,曹圆琦,等. 个案管理师主导的糖尿病足部溃疡患者照护方案实施[J].护理学杂志,2023,38(7):31-34.
[3] 翟法美,李晓静,张文娜,等. CGA下的护理模式对糖尿病足患者血糖控制、自我效能及感受负担的影响[J].齐鲁护理杂志,2022,28(17):17-20.
[4] 姚宁,董翠珍,于菲. Triangle分层分级管理结合LEARNS模式在糖尿病护理门诊管理中的应用[J].中国实用护理杂志,2023,39(6):401-405.
[5] 吴林秀,应燕萍,罗霰宇,等. Triangle分层分级管理模型在高血压患者延续护理中的应用效果[J].广西医学,2018,40(1):104-108.
[6] 杨沛,王艳梅,王志英,等. 基于Triangle模型的2型糖尿病患者分层分级延续护理方案的构建[J].护理学杂志,2022,37(7):85-89.
[7] 中华医学会糖尿病学分会,中华医学会感染病学分会,中华医学会组织修复与再生分会.中国糖尿病足防治指南(2019版)(Ⅰ)[J].中华糖尿病杂志,2019,11(2):92-108.
[8] 白娟娟,底瑞青,陈鞠红. 医联体共管分级诊疗模式在糖尿病足患者医院-社区综合管理中的应用[J].中华现代护理杂志,2022,28(9):1138-1142.
[9] 王怡宁,袁举,张飒. 思维导图结合动机性访谈对糖尿病足患者应对方式、自护能力的影响[J].齐鲁护理杂志,2020,26(17):9-12.
[10] 张天琦,黄求进,王晓春. 思维导图式认知行为干预对糖尿病足患者自我管理能力的影响[J].中国医院管理,2019,39(8):71-73.
[11] EDMONDS M, MANU C, VAS P. The current burden of diabetic foot disease[J].J Clin Orthop Trauma,2021,17: 88-93.
[12] BÉM R. Diabetic foot infection-diagnosis and treatment[J].Vnitr Lek,2023, 69(1): 25-30.
[13] 徐璋. 老年糖尿病患者足部自我管理中应用健康信念模式的临床研究[J].中外医学研究, 2016, 14(7): 157-158.
[14] 王跃滨. 医联体共管分级诊疗模式应用于糖尿病足患者的效果观察[J].中国医学创新,2023,20(33): 175-179.
[15] 陈香,王妍,徐丹丹. 个体化健康指导在糖尿病足患者中的应用[J].齐鲁护理杂志,2023,29(7):85-87. |
|
|
|