全利

[摘要] 目的 观察下肢丹毒患者全程护理干预的应用效果。 方法 选取本院2012年5月～2014年10月收治的下肢丹毒患者共70例，随机分为对照组及观察组，对照组35例患者采用常规基础护理，观察组35例患者采用全程的护理干预，比较两组患者护理满意度、并发症的发生率及护理依从性。 结果 观察组患者的护理满意度高于对照组，差异有统计学意义（P<0.05），观察组的并发症发生率明显低于对照组，差异有统计学意义（P<0.05）。观察组的护理依从性明显高于对照组，差异有统计学意义（P<0.05）。 结论 在下肢丹毒治疗过程中进行全程护理干预，可提高患者的依从性，降低并发症发生率，值得临床推广应用。

[关键词] 下肢丹毒；全程护理干预；观察

[中图分类号] R49 [文献标识码] A [文章编号] 1674-4721（2016）03（a）-0191-03

[Abstract] Objective To observe the application effect of whole course nursing intervention in patients with lower limbs erysipelas. Methods 70 patients with eryaipelas of lower limbs were treated in our hospital from May 2012 to October 2014 were selected，randomly divided into the two groups.35 patiens received routine care were selected as the control group，while 35 patients received whole course nursing intervention were selected as the observation group.Nursing satisfaction degree，the incidence rate of complication，nursing compliance of the two groups were compared.Results Nursing satisfaction degree of the observation group was higher than that of control group，with significant difference（P<0.05）.The incidence rate of complication of the observation group was lower than that of control group，with significant difference（P<0.05）.Nursing compliance of the observation group was significantly higher than that of control group，with significant difference（P<0.05）.Conclusion In the course of treatment of lower limb erysipelas，whole course nursing intervention can significantly improve patient compliance，reduce the incidence of complication，it is worthy of clinical promotion and application.

[Key words] Erysipelas of lower limbs；Whole course nursing intervention；Observation

丹毒是乙型溶血性链球菌从皮肤或黏膜的病损处，侵犯皮内网状淋巴管引起的急性炎症反应，临床表现除局部皮肤的红、肿、热、痛外，病人或有头痛、发热等全身不适症状，好发生于下肢或面部[1]。丹毒治疗时间长，症状缓解慢，患者往往缺乏自我保健意识和防病意识，易复发，研究显示，养成正确的个人卫生习惯，对防止丹毒的再次感染及复发有重要意义[2]。为提高下肢丹毒病人护理效果，探讨切实可行的防范措施，本院在下肢丹毒患者的治疗过程中实施了全程护理干预，取得较满意效果。

1 资料与方法

1.1 一般资料

选取我院外科2012年5月～2014年10月收治并确诊为下肢丹毒的70例患者作为观察对象，随机将其分为对照组和研究组，各35例。对照组中男性23例，女性12例；中位年龄为48岁；患病部位为小腿处21例，踝部为9例，足背部为5例。观察组中男性25例，女性10例；中位年龄为49岁；患病部位为小腿处22例，踝部为4例，足背部为9例。对比两组下肢丹毒患者的性别、年龄、治疗部位等一般资料比较，差异无统计学意义（P>0.05），具有可比性。