社区糖尿病患者足底压力与足部保护知识的相关性研究  

Correlation between plantar pressure and knowledge of foot protection in community diabetic patients

作　　者：杨青[1] 钱晓路[1] 白姣姣[2] 陆敏敏[1] 高键[3] 吕探云[1] 

机构地区：[1]复旦大学护理学院 [2]复旦大学附属华东医院 [3]复旦大学附属中山医院,上海200032

出　　处：《护理学杂志》2010年第1期1-4,共4页

基　　金：2009年复旦大学护理学院护理科研基金项目(FNSF200901)

摘　　要：目的了解社区糖尿病患者足底压力水平和足部保护知识掌握程度,并探讨两者的相关性,为制订减轻足底压力的干预措施提供依据。方法采用Footscan足底压力测量仪和足部保护知识问卷对上海市2个社区的319例2型糖尿病患者进行调查。结果86.83%的糖尿病患者左足底压力异常,89.34%的患者右足底压力异常;糖尿病患者足部保护知识总分为21.33±3.21,仅35.11%的患者知道减轻足底压力可以预防糖尿病足,28.21%的患者知道如何正确处理胼胝;糖尿病患者足底压力参数之冲量、最大力、峰值压力与足部保护知识总分呈显著负相关(P<0.05,P<0.01)。结论糖尿病患者足底压力异常比例较高,相关足部保护知识缺乏。应加强糖尿病患者足部保护知识的健康教育,从而减轻足底压力,早期、有效地预防足溃疡的发生。Objective To study the level of plantar pressure and knowledge of foot protection in community diabetic patients, and to explore its relationship for providing information for nursing intervention. Methods A total of 319 patients with type 2 diabetes mellitus from 2 communities in Shanghai were studied by using Footscan system to measure their plantar pressure and a self-designed questionnaire to explore their knowledge of foot protection. Resnlts Strictly, 86.83 % diabetic patients had abnormal plantar pressure of left foot, and that of right foot was 89.34% . The mean score of knowledge of foot protection was 21.33±3.21, only 35. 11% diabetic patients knew reducing plantar pressure could prevent diabetic foot, and 28.21% diabetic patients knew methods of dealing with callus correctly. Indicators of plantar pressure such as impulse, max force, peak pressure were negatively correlated with the score of knowledge of foot proteetion（P〈0.05, P〈0.01）. Conclusion Many diabetic patients suffer from abnormal plantar pressure and they lack of knowledge of foot protection. Nursing interventions such as health education should be given to them to reduce plantar pressure, and then prevent diabetic foot.

关 键 词：糖尿病 足底压力 足部保护知识 糖尿病足 

分 类 号：R473.2[医药卫生—护理学] R587.1[医药卫生—临床医学]