당뇨병성 족부궤양 환자의 치료형태 및 가정간호 연계

An Analysis of Treatment Types and Home Care Services Referral for Patients with Diabetic Foot

  • 송종례 (아주대학교병원 가정간호센터) ;
  • 한승환 (아주대학교 의과대학) ;
  • 이영아 (아주대학교병원 가정간호센터) ;
  • 김미영 (아주대학교병원 가정간호센터) ;
  • 채선미 (서울대학교 간호대학.간호과학연구소)
  • Song, Chong-Rye (Home Care Services Center, Ajou University Hospital) ;
  • Han, Seung-Hwan (College of Medicine, Ajou University) ;
  • Lee, Young-Ah (Home Care Services Center, Ajou University Hospital) ;
  • Kim, Mi-Young (Home Care Services Center, Ajou University Hospital) ;
  • Chae, Sun-Mi (College of Nursing, The Research Institute of Nursing Science, Seoul National University)
  • 투고 : 2011.04.24
  • 심사 : 2011.05.16
  • 발행 : 2011.06.30

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 20 years 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.

키워드

참고문헌

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