Application of continuity of care in nursing care of dibetes patients with asymptomatic lower extremity atheroscle-rotic disease

doi:10.3969/j.issn.1009-6493.2015.29.012

Abstract：Objective:To probe into the application effect of continuity of care in nursing care of diabetes mellitus patients complicated with asymptomatic lower extremity atherosclerotic disease (LEAD).Methods:A total of 93 cases of diabetes mellitus patients with were asymptomatic LEAD selected who received Doppler ultrasonic flowmeter measurement of ankle brachial index (ABI)≤0.9 from March in 2014 to September in 2014.The continuity of care was used,through the three steps including problem assessment,plan implementation and timely evaluation to intervene and monitor the blood glucose,blood lipids,blood pressure,foot appearance,lower extremity vascular lesion and peripheral nerve lesion at 3 months and 6 months after discharge.The difference of self nursing ability was observed in different periods.Results:At 6 months after discharge,the patients’many indexes were improved including fasting postprandial blood glucose(FPG),2 h postprandial blood glucose (2 hPG),gly-cosylated hemoglobin(HbA1 C ),total cholesterol(TG),high density lipoprotein cholesterol(HDL C),low density lipoprotein cholesterol(LDL C),blood pressure and body mass index(BMI)(all P <0.01 ).The score of self care ability increased significantly(P <0.01).The abnormal of foot color,infection,foot back artery,limb numb-ness,ankle reflex,vibration feeling,pressure feeling,acupuncture feeling and temperature feel were significantly improved(P <0.05).Conclusion:Continuity of care can improve the self care ability of diabetes patients with a-symptomatic LEAD.It can improve the patients’blood glucose,blood lipids,blood pressure and other indica-tors,and reduce the risk of foot ulcers and amputation.