英文文獻(xiàn)匯報(bào)

1、,Nurses’ role in diabetic foot prevention and care（a review）,護(hù)士在糖尿病足的預(yù)防和護(hù)理中的作用,1,,2,3,4,文獻(xiàn)相關(guān)信息,,摘要,背景,護(hù)士在糖尿病足護(hù)理中的作用,5,討論,,文 獻(xiàn) 相 關(guān) 信 息,來源 pubmed http://www.ncbi.nlm.nih.gov/pubmed,作者 M Aalaa,O Tabat

2、abaei Malazy,M Sanjari, M Peimani,and MR Mohajeri-Tehrani,單位Endocrinology and Metabolism Research Center, Tehran University of Medical Sciences, Tehran, Iran,,,德黑蘭大學(xué)的醫(yī)學(xué)科學(xué)內(nèi)分泌學(xué)和新陳代謝研究中心,發(fā)表于2012年11月25日,Abstract,,Keywords,D

3、iabetes,Diabetic foot,Nurse,Background,,糖尿病患病人數(shù)的提高,糖尿病足部潰瘍和感染后果（感染，壞疽，截肢，甚至死亡）,糖尿病足高額的治療費(fèi)用,美國糖尿病協(xié)會（ADA ）的預(yù)防策略——多學(xué)科小組,,,糖尿病足潰瘍,,不提供必要的照顧,,1.感染，壞疽，截肢甚至死 亡 2.在截肢后的頭兩年有50 ％ 的有再截肢風(fēng)險(xiǎn)3.下肢截肢的住院和康復(fù)的 時(shí)間延長,適當(dāng)?shù)恼疹櫤徒逃?/p>

4、,,糖尿病足的截肢是可以預(yù)防的,,糖尿病的治療負(fù)擔(dān),,,,,糖尿病足部潰瘍 7000-10,000美元截肢 65,000美元,糖尿病足 5848,治療費(fèi)用,,負(fù)擔(dān)估計(jì),糖尿病足伴有神經(jīng)病變 40,000,,多學(xué)科團(tuán)隊(duì),團(tuán)隊(duì)構(gòu)成 全科醫(yī)生，護(hù)士，教育者，矯形的，足科病醫(yī)生及一 些顧問，血管外科醫(yī)生，感染病?？漆t(yī)生，皮膚科醫(yī) 生，內(nèi)分泌科醫(yī)生 營養(yǎng)師，骨科醫(yī)生，家庭服務(wù)

5、者研究表明，雖然所有的團(tuán)隊(duì)成員都對減少足部潰瘍和截肢的發(fā)生率的影響，然而，護(hù)士及足病診療師的作用是必不可少的,1,2,成效：糖尿病足潰瘍的發(fā)病率降低糖尿病的截肢率降低 糖尿病的治療費(fèi)用降低,Nurses’ role,goals護(hù)理干預(yù)在糖尿病足中的目標(biāo),in education護(hù)士在教育中的作用,in rehabilitation護(hù)士在康復(fù)治療中的作用,in care護(hù)士在護(hù)理中的作用,,,,護(hù)理干預(yù)

6、 在 糖尿病足中的目標(biāo),,,,,促進(jìn)健康 、 預(yù)防疾病病人護(hù)理 、 簡化患者的依從性.,培養(yǎng)糖尿病?？谱o(hù)士，,,Nurse’s role in education,,,教患者進(jìn)行一些體格檢查及基本的足部護(hù)理知識,,針對患者的情況制定特定的教育計(jì)劃,,,患者血糖控制不佳應(yīng)給予特別注意的切實(shí)可行的教育,,護(hù)理人員本身的教育 ：提高護(hù)士的護(hù)理和檢查技能,,護(hù)士在教育中的作用,,Table 1? To Examine fee

7、t 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, espe

8、cially 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 shoes is i

9、n 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

10、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 hygie

11、ne (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

12、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

13、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 cra

14、cks, 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 wat

15、er 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 di

16、rectly? 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.,,,,檢查與篩查,,早期發(fā)現(xiàn)糖

17、尿病足的問題()，以減少糖尿病足潰瘍的風(fēng)險(xiǎn),依潰瘍類型選擇合適的護(hù)理方法,,保持傷口清潔，減少細(xì)菌的滋生,,護(hù)士在糖尿病足的家庭護(hù)理中的作用,,護(hù)士在護(hù)理中的作用,,,,護(hù)士在康復(fù)治中的作用,,鼓勵和教導(dǎo)病人使用輔助設(shè)備（手杖、輪椅等）,Discussion,糖尿病足是糖尿病患者住院的常見原因，護(hù)士作為糖尿病治療的團(tuán)隊(duì)的成員之一在健康護(hù)理、公共教育、衛(wèi)生系統(tǒng)的管理、病人的護(hù)理，還有提高其生活質(zhì)量中都發(fā)揮了重要的作用，但與此同時(shí)護(hù)士還