糖尿病足手术患者就医旅程困境及护理策略研究

doi:10.3761/j.issn.0254-1769.2026.10.004

中华护理杂志 ›› 2026, Vol. 61 ›› Issue (10): 1325-1332.DOI: 10.3761/j.issn.0254-1769.2026.10.004

• 伤口造口护理与研究专题 • 上一篇下一篇

糖尿病足手术患者就医旅程困境及护理策略研究

刘静¹(), 翁亚娟²(), 魏敏¹, 孙振³, 李剑¹, 李如月¹

¹ 南京大学医学院附属鼓楼医院伤口护理室南京市 210008
² 南京大学医学院附属鼓楼医院护理部南京市 210008
³ 南京大学医学院附属鼓楼医院门诊部南京市 210008

收稿日期:2025-07-14 出版日期:2026-05-20 发布日期:2026-05-09
*通讯作者: 翁亚娟，E-mail：faith830406@hotmail.com
作者简介:刘静：女，硕士，护师，E-mail：liujing_123789@163.com
第一联系人：作者贡献声明
刘静：研究设计、资料收集与分析、论文撰写与修改；翁亚娟：研究指导、论文审阅与修改；魏敏：研究设计指导、资料收集与分析；孙振：研究设计指导、资料分析；李剑、李如月：资料收集与分析
基金资助:
江苏省宁爱医学发展医疗救助基金会资助项目(NDYGN2024074)

Dilemmas and strategies of medical journey in patients with diabetic foot surgery

LIU Jing¹(), WENG Yajuan²(), WEI Min¹, SUN Zhen³, LI Jian¹, LI Ruyue¹

¹ Wound Care Unit， Nanjing Drum Tower Hospital，Affiliated Hospital of Medical School，Nanjing University， Nanjing 210008， China
² Nursing Department， Nanjing Drum Tower Hospital，Affiliated Hospital of Medical School，Nanjing University， Nanjing 210008， China
³ Outpatient Department， Nanjing Drum Tower Hospital，Affiliated Hospital of Medical School，Nanjing University， Nanjing 210008， China.

Received:2025-07-14 Online:2026-05-20 Published:2026-05-09
* Corresponding author: WENG Yajuan，E-mail：faith830406@hotmail.com
Funding program:
Aid Project of Jiangsu Ningai Medical Development & Medical Aid Foundation(NDYGN2024074)

摘要/Abstract

摘要：

目的探讨糖尿病足手术患者在疾病发展各阶段的体验、痛点及护理关键点，为临床护理实践提供借鉴。方法采用目的抽样法，2025年1—2月选取南京市2所三级甲等医院12例糖尿病足术后恢复期患者进行半结构式访谈，采用定向内容分析法进行编码并提炼主题，在患者旅程地图框架下进行整合与绘制。结果该研究将糖尿病足手术患者旅程时间轴划分为前驱期、决策期、治疗期及恢复期4个主阶段（13个子阶段），发现患者在转诊、决策沟通及手术期存在明显情绪低谷。同时，从患者行为（13个主题）、情绪（9个主题）和痛点（9个主题）3个维度将该群体的体验进行归纳细分，结合就医动态、患者任务、相关人员数据内容绘制旅程地图。结论糖尿病足手术患者的就医旅程呈现情绪动态化、痛点差异化特征。临床医护人员应重视患者不同阶段的体验变化进而采取动态化、针对性的护理策略。

关键词: 患者旅程地图, 糖尿病足, 手术, 患者体验, 护理

Abstract:

Objective This study aims to explore the experience，pain points and nursing opportunity points of patients with diabetic foot surgery in different stages of disease development，aims to provide references for clinical nursing practice.Methods From January to February 2025，purpose sampling was used to select 12 patients with diabetic foot in the recovery period after surgery from 2 tertiary A hospitals in Nanjing，Jiangsu Province for semi-structured interviews. The obtained descriptive qualitative research data were first encoded and themes were extracted by directed content analysis，and then integrated and drawn under the framework of patient journey map.Results In this study，the journey timeline of patients with diabetic foot surgery was divided into 4 main stages（13 sub-stages）：prodromal stage，decision-making stage，treatment stage and recovery stage. It was found that patients had obvious emotional low points during the referral，decision-making communication and operation period. At the same time，the experience of the group was summarized and subdivided from the 3 dimensions of patient behavior（13 themes），emotion（9 themes） and pain points（9 themes）. Combined with medical treatment dynamics，patient tasks and relevant personnel data content，the journey map was drawn.Conclusion The medical journey of patients with diabetic foot surgery is characterized by dynamic emotions and differentiated pain points. Clinical medical staff should pay attention to the experience changes of patients at different stages and take dynamic and targeted nursing strategies.

Key words: Patient Journey Map, Diabetic Foot, Surgery, Patient Experience, Nursing Care

刘静, 翁亚娟, 魏敏, 孙振, 李剑, 李如月. 糖尿病足手术患者就医旅程困境及护理策略研究[J]. 中华护理杂志, 2026, 61(10): 1325-1332.

LIU Jing, WENG Yajuan, WEI Min, SUN Zhen, LI Jian, LI Ruyue. Dilemmas and strategies of medical journey in patients with diabetic foot surgery[J]. Chinese Journal of Nursing, 2026, 61(10): 1325-1332.

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糖尿病足手术患者就医旅程困境及护理策略研究

Dilemmas and strategies of medical journey in patients with diabetic foot surgery

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