Abstract：
Diabetic foot (DF) ulcer is one of the common complications of diabetic patients, with high incidence and amputation rate, which seriously affects the quality of life and health of patients. Therefore, how to effectively prevent and treat DF ulcers and reduce amputation rate has become an urgent problem in the medical field. As a comprehensive nursing model for patients with DF ulcers, comprehensive nursing intervention is designed to improve the therapeutic effect and prognosis and reduce the rate of amputation. Convenient sampling method was used to select 360 patients with DF who received routine care for DF ulcers from July 2013 to July 2023 for retrospective cohort analysis. According to the existence of exposure factors (comprehensive nursing intervention), 180 cases were divided into observation group and comparison group. The basic demographic data, amputation rate, severity of foot ulcer, neuropathy and vascular disease, and blood glucose control were compared between the 2 groups. The data was analyzed using SPSS26.0. Harman single factor test was used to check whether there was common method bias in the study data. Descriptive analysis, Spearman rank correlation analysis and multiple linear regression analysis were used to analyze the current situation of amputation rate of DF patients and the influence of comprehensive nursing intervention on the amputation rate of DF patients. The amputation rate was 2.8% in the Observation group compared to 8.3% in the Comparison group. The amputation rate of the observation group was generally higher in the age group, and the amputation rate of the observation group was higher in the middle school education level and below and the economic status of <5000 yuan. The difference was statistically significant (P < .05). Age (odds ratio [OR] = 1.96; 95% confidence interval [CI]: 0.88-4.38), education level (OR = 1.30; 95% CI: 1.69-6.46), economic status (OR = 2.28; 95% CI: 1.69-10.85) was an independent risk factor for amputation rate (P < .05). Comprehensive nursing interventions have played a positive role in reducing the rate of amputation in patients with DF.
摘要：
糖尿病足(DF)溃疡是糖尿病患者常见的并发症之一。发病率和截肢率高，严重影响患者的生活质量和健康。因此,如何有效预防和治疗DF溃疡,降低截肢率已成为医学领域亟待解决的问题。作为DF溃疡患者的综合护理模式，综合护理干预旨在提高治疗效果和预后,降低截肢率。采用方便抽样法选取2013年7月至2023年7月接受DF溃疡常规护理的360例DF患者进行回顾性队列分析。根据暴露因素的存在（综合护理干预），180例患者分为不雅察组和对比组。基本的人口统计数据，截肢率,足溃疡的严重程度，神经病和血管疾病，比较两组血糖控制情况。数据采用SPSS26.0进行分析。采用Harman单因素检验检验研究数据是否存在共同方法偏倚。描述性分析,采用Spearman秩相关分析和多元线性回归分析DF患者截肢率的现状以及综合护理干预对DF患者截肢率的影响。观察组的截肢率为2.8％，对照组为8.3％。观察组的截肢率在年龄组中普遍较高,在中学及以下文化程度和经济状况<5000元的观察组截肢率较高。差异有统计学意义(P<0.05)。年龄(优势比[OR]=1.96；95%置信区间[CI]：0.88-4.38)，教育水平(OR=1.30；95%CI：1.69-6.46)，经济状况(OR=2.28;95%CI:1.69-10.85)是影响截肢率的独立危险因素(P<.05)。综合护理干预对降低DF患者截肢率起到了积极作用。
