당뇨병성 족부궤양 환자의 치료형태 및 가정간호 연계
An Analysis of Treatment Types and Home Care Services Referral for Patients with Diabetic Foot
0
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
Purpose: The purpose of this study was to investigate treatment types and the status of referral to home care services for patients with diabetic foot. Methods: A retrospective survey was conducted by reviewing medical records from January to December in 2008 at a university hospital. The subjects were 76 patients at the age of 20years or older who were admitted, had home care services, or received outpatient care for diabetic foot. The data were analyzed using descriptive statistics. Results: Among the total of 9,317 patients diagnosed with diabetes,5.03% (n=469) had diabetic foot. Admission (81.6%) was the most frequently used treatment type followed by outpatient care only (7.9%) and hemodialysis only (10.5%). Of the 76 admission cases, 44.9% received post-discharge care at outpatient clinics, 20.5% had both outpatient and home care services, and 16.7% were transferred to other hospitals. Readmission rate after discharge was 15.6% for one year. Conclusion: This study suggests referral to home care services should be encouraged to provide effective follow-up care to patients with diabetic foot after discharge from a hospital.
Abstract
Purpose: The purpose of this study was to investigate treatment types and the status of referral to home care services for patients with diabetic foot. Methods: A retrospective survey was conducted by reviewing medical records from January to December in 2008 at a university hospital. The subjects were 76 patients at the age of 20years or older who were admitted, had home care services, or received outpatient care for diabetic foot. The data were analyzed using descriptive statistics. Results: Among the total of 9,317 patients diagnosed with diabetes,5.03% (n=469) had diabetic foot. Admission (81.6%) was the most frequently used treatment type followed by outpatient care only (7.9%) and hemodialysis only (10.5%). Of the 76 admission cases, 44.9% received post-discharge care at outpatient clinics, 20.5% had both outpatient and home care services, and 16.7% were transferred to other hospitals. Readmission rate after discharge was 15.6% for one year. Conclusion: This study suggests referral to home care services should be encouraged to provide effective follow-up care to patients with diabetic foot after discharge from a hospital.
참고문헌 (19)
- Apelqvist, J., "What is the most effective way to reduce incidence of amputation in the diabetic foot", Diabetes Metab Res and Rev, 16(suppl 1), pp.75~s83 (2000)
- Apelqvist, J., "Long-term costs for foot ulcers in diabetic patients in a multidisciplinary setting", Foot Ankle Int, 16(7), pp.388~394 (1995)
- Basic statistics on diabetes Task Force Team report: Diabetes in Korea 2007, "Basic Statistics Diabetes Task Force Team", Korean Diabetes Association & Health Insurance Review & Assessment Service., ~ (2007)
- Boulton, A. JM, "The global burden of diabetic foot disease", Lancet, 366(9498), pp.1719~1724 (2005)
- 정춘희, "우리나라 당뇨병성 족부질환의 현황: 건강보험자료 분석결과", Diabetes and Metabolism Journal, 30(5), pp.372~376 (2006), 대한당뇨병학회
- Fard, A. S, "Assessment and treatment of diabetic foot ulcer", Int J Clin Pract, 6(11), pp.1931~1938 (2007)
- Frykberg, R. G, "Diabetic foot disorders: A clinical practice guideline (2006 revision)", J Foot Ankle Surg, 45(5), pp.1~66 (2006)
- Heo, K. B., "A clinical study on diabetic gangrene", J Korean Diabetes Assoc, 7(1), pp.65~70 (1983)
- Kim, D. I, "Diabetic foot: diagnosis & treatment" (2006), Euihakmunhwa
- Kim, H. Y, "Clinical nutrition" (2004), Shinkwang publishing
- 김재영, "당뇨병 발 병변에 관한 임상적 고찰", Diabetes and Metabolism Journal, 31(2), pp.89~95 (2007), 대한당뇨병학회
- Korean Wound Management Society, "Clinical practice guideline of diabetic foot" (2009), Seoul: Koonja publishing
- Lavery, L. A., "Classification of diabetic foot wounds", J Foot Ankle Surg, 35(6), pp.528~531 (1996)
- Guide on the medical institute base home health agency management, "Ministry of Health and Welfare", Ministry of Health and Welfare, ~ (2010)
- Health at a Glance 2009: OECD INDICATORS, Seoul, "OECD Korea Policy Centre", OECD Korea Policy Centre, ~ (2010)
- Park, I. B., "The report of epidemiological study for diabetic diseases- focus on “Diabetes in Korea 2007”", Clinical Diabetics, 8(4), pp.356~360 (2007)
- 유호신, "전국 의료기관 가정간호이용 및 가정간호비용", Journal of Korean Academy of Nursing, 36(8), pp.1193~1203 (2006), 한국간호과학회
- 송종례, "노인대상 의료기관 가정간호사업의 운영실태", 지역사회간호학회지, 19(4), pp.660~672 (2008), 지역사회간호학회
- Stratton, I. M., "Association of glycaemia with macrovascular and microvascular complications of type 2 diabetes (UKPDS 35): prospective observational study", BMJ, 321(7258), pp.405~412 (2000)