1、,Nurses role in diabetic foot prevention and care（a review）,护士在糖尿病足的预防和护理中的作用,1,2,3,4,文献相关信息,摘要,背景,护士在糖尿病足护理中的作用,5,讨论,文 献 相 关 信 息,来源 pubmed http:/www.ncbi.nlm.nih.gov/pubmed,作者 M Aalaa,O Tabatabaei Malazy,M Sanjari, M Peimani,and MR Mohajeri-Tehrani,单位Endocrinology and Metabolism Research Center, Te
2、hran University of Medical Sciences, Tehran, Iran,德黑兰大学的医学科学内分泌学和新陈代谢研究中心,发表于2012年11月25日,Abstract,Keywords,Diabetes,Diabetic foot,Nurse,Background,糖尿病患病人数的提高,糖尿病足部溃疡和感染后果（感染，坏疽，截肢，甚至死亡）,糖尿病足高额的治疗费用,美国糖尿病协会（ADA ）的预防策略多学科小组,糖尿病足溃疡,不提供必要的照顾,1.感染，坏疽，截肢甚至死 亡 2.在截肢后的头两年有50 的有再截肢风险3.下肢截肢的住院和康复的 时间延长,适当的照顾和
3、教育,糖尿病足的截肢是可以预防的,糖尿病的治疗负担,糖尿病足部溃疡 7000-10,000美元截肢 65,000美元,糖尿病足 5848,治疗费用,负担估计,糖尿病足伴有神经病变 40,000,多学科团队,团队构成 全科医生，护士，教育者，矫形的，足科病医生及一 些顾问，血管外科医生，感染病专科医生，皮肤科医 生，内分泌科医生 营养师，骨科医生，家庭服务者研究表明，虽然所有的团队成员都对减少足部溃疡和截肢的发生率的影响，然而，护士及足病诊疗师的作用是必不可少的,1,2,成效：糖尿病足溃疡的发病率降低糖尿病的截肢率降低 糖尿病的治疗费用降低,Nurses role,goals护理干预在糖尿病足中
4、的目标,in education护士在教育中的作用,in rehabilitation护士在康复治疗中的作用,in care护士在护理中的作用,护理干预 在 糖尿病足中的目标,促进健康 、 预防疾病病人护理 、 简化患者的依从性.,培养糖尿病专科护士，,Nurses role in education,教患者进行一些体格检查及基本的足部护理知识,针对患者的情况制定特定的教育计划,患者血糖控制不佳应给予特别注意的切实可行的教育,护理人员本身的教育 ：提高护士的护理和检查技能,护士在教育中的作用,Table 1 To Examine feet daily for discoloration, sw
5、elling, skin cracks, pain or numbness Use the self help methods to help foot examination such as using mirrors Foot hygiene (daily washing, followed by drying feet carefully, especially between the fingers) Controlling water temperature before washing foot To avoid going barefoot or wearing shoes wi
6、thout socks To choose shoes that are precisely in size. The best time for buying shoes is in the afternoon. Cutting the fingernails directly To avoid manipulation of foot lesions such as corn To keep wet the dry surfaces of foot by moisturizing creams except between the fingers To ask for help if re
7、duction of the visual acuity.,Table 1 To Examine feet daily for discoloration, swelling, skin cracks, pain or numbness Use the self help methods to help foot examination such as using mirrors Foot hygiene (daily washing, followed by drying feet carefully, especially between the fingers) Controlling
8、water temperature before washing foot To avoid going barefoot or wearing shoes without socks To choose shoes that are precisely in size. The best time for buying shoes is in the afternoon. Cutting the fingernails directly To avoid manipulation of foot lesions such as corn To keep wet the dry surface
9、s of foot by moisturizing creams except between the fingers To ask for help if reduction of the visual acuity.,Table 1 The basic principles of foot carre in clinic and home To Examine feet daily for discoloration, swelling, skin cracks, pain or numbness Use the self help methods to help foot examina
10、tion such as using mirrors Foot hygiene (daily washing, followed by drying feet carefully, especially between the fingers) Controlling water temperature before washing foot To avoid going barefoot or wearing shoes without socks To choose shoes that are precisely in size. The best time for buying sho
11、es is in the afternoon. Cutting the fingernails directly To avoid manipulation of foot lesions such as corn To keep wet the dry surfaces of foot by moisturizing creams except between the fingers To ask for help if reduction of the visual acuity.,检查与筛查,早期发现糖尿病足的问题()，以减少糖尿病足溃疡的风险,依溃疡类型选择合适的护理方法,保持伤口清洁，减少细菌的滋生,护士在糖尿病足的家庭护理中的作用,护士在护理中的作用,护士在康复治中的作用,鼓励和教导病人使用辅助设备（手杖、轮椅等）,Discussion,糖尿病足是糖尿病患者住院的常见原因，护士作为糖尿病治疗的团队的成员之一在健康护理、公共教育、卫生系统的管理、病人的护理，还有提高其生活质量中都发挥了重要的作用，但与此同时护士还是要参加特殊培训以便能使用最新的治疗方法来护理糖尿病患者 培养糖尿病专科科学硕士学位的护士 德黑兰大学内分泌学和新陈代谢研究中心为糖尿病足护理团队也包括护士制定了糖尿病足护理 的临床指南，翻译了临床护理糖尿病足，也建立了 糖尿病足诊疗网络。,Thanks !,
