Diabetic foot is a common complication in diabetic patients, which may lead to amputation in severe cases. After amputation, anti-infection nursing has become a key link in the rehabilitation process of patients. Anti-infective nursing measures after diabetic foot amputation will be discussed in detail below to help patients better cope with this challenge.
1. Control blood sugar level
Controlling blood glucose is the primary task of anti-infective nursing after diabetic foot amputation. High blood sugar can delay wound healing and increase the risk of infection. Therefore, the patient needs to:
1. Regular monitoring of blood glucose: Use a blood glucose meter to regularly monitor fasting and postprandial blood glucose levels to ensure that blood glucose is controlled within an ideal range.
2. Medication according to medical supervision: Use hypoglycemic drugs or insulin strictly according to the doctor’s prescription, and do not increase or decrease the dosage at will.
3. Dietary adjustment: maintain a balanced diet, avoid high-sugar and high-fat foods, and take appropriate intake of high-quality protein, vitamins and minerals.
II. Wound Care
Wound care is the key to preventing infection and promoting healing. After amputation, the patient needs to:
1. Keep the wound clean: change the dressing regularly, use normal saline or mild disinfectant to clean wound, and avoid using irritating disinfectant.
2. Keep the wound dry: Keep the wound and its surrounding area dry to avoid fungal infection caused by humid environment.
3. Observe the changes of the wound: closely observe the swelling, pain and exudation of the wound. If there is any abnormality, seek medical advice in time.
3. Rational use of antibiotics
The rational use of antibiotics is the key to the treatment of
infected wounds. The patient needs:
1. Medication in accordance with medical supervision: Use antibiotics in strict accordance with the doctor’s prescription, and do not change drugs or stop taking drugs at will.
2. Pay attention to the side effects of drugs: observe the reactions after medication, such as allergic reactions, gastrointestinal discomfort, etc., and seek medical advice in time.
3. Complete the course of treatment: Even if the symptoms are relieved, the whole course of antibiotic treatment should be completed to avoid the recurrence of infection.
IV. Psychological Support and Emotional Management
After
diabetic foot amputation, patients may face greater psychological pressure and emotional distress. Therefore, psychological support is as important as emotional management. The patient needs:
1. Receive psychological counseling: If necessary, you can seek the help of professional psychological counselors and learn to self-regulate your emotions.
2. Maintain a positive and optimistic attitude: maintain a positive and optimistic attitude, believe in their rehabilitation ability, and actively cooperate with the treatment.
3. Communicate with family and friends: Keep good communication with family and friends, share your feelings and confusion, and get their understanding and support.
5. Rehabilitation exercise and functional recovery
Rehabilitation exercise is of great significance for promoting wound healing and restoring limb function. The patient needs:
1. Develop a rehabilitation plan: develop an individualized rehabilitation plan under the guidance of a doctor and a rehabilitation teacher.
2. Insist on exercise: exercise according to the rehabilitation plan, including muscle exercise, joint activities, etc., to promote the recovery of limb function.
3. Avoid overwork: In the process of exercise, we should pay attention to rest and avoid overwork leading to wound dehiscence or aggravation of infection.
6. Regular follow-up and follow-up
Regular follow-up and follow-up is the key to ensure the treatment effect, timely detection and treatment of problems. The patient needs:
1. Regular follow-up: regular follow-up according to the doctor’s advice, so that the doctor can know the recovery situation in time and give guidance.
2. Record the changes of the patient’s condition: record the changes of the wound and the reaction after medication, so as to provide accurate information to the doctor during the follow-up visit.
3. Keep in touch: If you have any questions or discomfort, you should contact the doctor in time for help and guidance.
To sum up, anti-infective nursing after diabetic foot amputation involves many aspects, including blood sugar control, wound care, rational use of antibiotics, psychological support and emotional management, rehabilitation exercise and functional recovery, and regular follow-up and follow-up. Patients need to strictly follow the doctor’s instructions for nursing and rehabilitation exercises to promote wound healing and limb function recovery. At the same time, maintaining good living habits and mentality is also an important factor in the rehabilitation process.
Diabetic foot
