摘要
目的 分析糖尿病足用专科护士主导的以自我管理为导向的 5A 护理的价值。方法 对 2021 年
1 月-2022 年 6 月本院内分泌科接诊 2 型糖尿病并发糖尿病足病人（n=57）进行随机分组，观察组 29 人采取
专科护士主导的以自我管理为导向的 5A 护理，对照组 28 人行常规护理。对比患者的病情改善成效。结果 关
于糖化血红蛋白和空腹血糖：干预结束时，观察组数据比对照组低（P＜0.05）。关于 SDSCA 评分：干预结
束时，观察组数据比对照组高（P＜0.05）。关于足部愈合率，观察组数据 93%，和对照组数据 73%相比更
高（P＜0.05）。结论 糖尿病用专科护士主导的以自我管理为导向的 5A 护理，可有效控制病人血糖，提高
患者足部自我护理和足部检查的能力，提高糖尿病足的愈合率。
关键词： 5A 护理模式；2 型糖尿病；糖尿病足；专科护士；自我管理能力
Abstract
Objective To analyze the value of self-management-oriented 5A nursing led by specialist nurses
of diabetic foot. Methods From January 2021 to June 2022, 57 patients with type 2 diabetes mellitus complicated
with diabetic foot admitted to the Department of Endocrinology of our hospital (n=57) were randomly divided into
the observation group (n= 29) and the control group (n= 28). The observation group received 5A nursing led by
specialist nurses, and the control group received routine nursing. Compare the improvement effect of patients'
condition. Results At the end of intervention, the data of the observation group were lower than those of the control
group (P < 0.05). About SDSCA score: At the end of the intervention, the data of the observation group was higher
than that of the control group (P < 0.05). The rate of foot healing was 93% in the observation group, which was
higher than 73% in the control group (P < 0.05). Conclusion The self-management-oriented 5A nursing led by
specialist nurses for diabetes can effectively control patients' blood glucose, improve patients' ability of foot
self-care and foot examination, and improve the healing rate of diabetic foot.
Key words： 5A nursing model; type 2 diabetes; diabetic foot; specialist nurse; self-management ability
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