Nursing care of patients with early diabetic foot ulcer treated with mupirocin ointment combined with ultra-laser

Abstract

Objective To study and analyze the effect of nursing care for patients early diabetic foot ulcer treated with mupirocin ointment and ultra-laser. Methods 30 patients with early diabetic foot ulcer admitted to our hospital from June, 2017 to June, 2018 were included as research objects, and were divided into an intervention group and a control group by random lottery, 15 cases for each group. The control group was given iodine volts dressing change nursing, and intervention group was given mopiroxine ointment and ultra-laser treatment and nursing care. The wound healing effect, frequency of dressing change, healing time, and pain degree before and after intervention were compared between the two groups. In addition, logistic method was used to analyze the related influencing factors of the patients’ prognosis and rehabilitation. Results The total effective rate of wound healing was higher in the intervention group than that in the control group (93.33% vs. 73.00%) , but the difference was not statistically significant (P>0.05). The frequency of dressing change and healing time were lower in the intervention group than in the control group [(45.12±2.49) times vs. (52.04±2.77) times and (39.31±2.20) d vs. (56.23±2.84) d, both P<0.05]. The VAS scores of the intervention group and control group were lower after than before the intervention (both P<0.05); and the VAS score was lower in the intervention group than in the control group after the intervention [(2.07±0.34) vs. (3.41±0.51); P<0.05]. Logistic regression analysis showed that disease course, ulcer area, foot infection, non-use of mopirocin ointment, and no ultra-laser intervention were all independent risk factors for poor prognosis in the patients (all P<0.05). Conclusion Mupirocin ointment combined with ultra-laser can significantly improve the therapeutic effect of patients with early diabetic foot ulcer, promote their early recovery, and reduce their pain. In addition, disease course, ulcer area, foot infection, non-use of mopirocin ointment, and no ultra-laser intervention can all adversely affect the patients’ prognosis to some extent. Key words: Early diabetic foot ulcer; Mupirocin ointment; Ultra laser; Nursing measures; Wound healing