The effect of meticulous care combined with foot care on the clinical symptoms and nerve function of patients with diabetic peripheral neuropathy

The effect of meticulous care combined with foot care on the clinical symptoms and nerve function of patients

Abstract

Objective: The objective of this investigation is to determine the efficacy of fine care combined with foot care on clinical symptoms and nerve function of diabetic peripheral neuropathy patients. Method: 60 individuals with diabetic peripheral neuropathy were selected and admitted to the hospital between September 2020 and September 2021. Each group consisted of 30 patients, while the control group received standard nursing care intervention. The test group provided exquisite attention in addition to basic foot care. Examine the two groups of patients' blood glucose levels, neurotrophic factors, nerve conduction velocity, foot nerve function, ankle-brachial index, and intervention effects. Results: Post treatment, both groups of patients exhibited lower levels of FBG, 2hBG, and HbA1c than before the intervention, with the reduction in the observation group being substantially higher than the drop in the control group (P<0.05). CNTF and BDNF levels were higher after the intervention than before, whereas HMGB1 levels were lower. After treatment, the test group's CNTF and BDNF levels increased more than the control group, and the reduction in HMGB1 level was substantially larger than that of the control group (P<0.05). The MNCV and SNCV of the common peroneal nerve and median nerve of the lower limbs increased after the treatment. MNCV and SNCV of the common peroneal nerve and median nerve dramatically improved more in the test group than in the control group (P0.05). After treatment, the two groups' ratings on the three dimensions of symptoms, reflexes, and sensations were lower than the intervention's. The ABI level was higher in prior intervention, the symptoms, reflexes, and sensory detection of the test group was reduced more than the control group, and the ABI level increased more than the control group (P<0.05). The observation group's overall effective rate after the intervention was 93.10%, which was substantially greater than the control group's. The control group's success rate was 84.48% (P< 0.05). Conclusion: For patients with diabetic peripheral neuropathy, fine care combined with foot care can effectively maintain blood sugar levels, promote neurological function recovery, reduce the risk of adverse reactions, improve nursing satisfaction and comfort, and obtain better nursing results.