基于三级预防的糖尿病足全程管理模式构建

目的构建基于三级预防的糖尿病足全程管理模式。方法成立品管圈小组，开展课题研究型品管圈活动。结果构建了基于三级预防的糖尿病足全程管理模式，使Wagner 3级以上糖尿病足患者大截肢率由4%下降为1.76%，Wagner 3级以上患者平均住院日由25.3 d缩短为15.7 d，平均住院费用由22 580元降低为16 780元，糖尿病高危足早期筛查率由68%提升为90%，患者满意度由56%提升为85%，糖尿病足MDT年会诊量由112人次提升为268人次。结论基于三级预防的糖尿病足全程管理模式改善了糖尿病足预后，

Construction of Diabetic Foot Whole-Process Management Mode Based on Tertiary Prevention

Objective To establish diabetic foot whole-process management model based on tertiary prevention.Methods A quality control circle group was established to carry out activities by applying the research-oriented quality control circle approach.Results The diabetic foot whole-process management model based on tertiary prevention was constructed,which reduced the amputation rate of patients with diabetic foot above Wagner Grade 3 from 4%to 1.76%,decreased the average length of stay from 25.3 days to 15.7 days and average medical costs from 22580 yuan to 16780 yuan.The early-screening rate for diabetes at high-risk of diabetic foot increased from 68%to 90%,the satisfaction of diabetic foot patients increased from 56%to 85%,and the annual volume of Multi-Disciplinary Team consultation increased from 112 to 268.Conclusion The construction of the diabetic foot whole-process management model based on tertiary prevention improved the prognosis of patients,shortened the hospitalization time,reduced the medical cost,and improved the quality of life of patients.