糖尿病患者足部护理知识与行为调查及影响因素分析  

Survey of foot self-care knowledge and behaviors and analysis of related factors in patients with diabetes mellitus

作　　者：冯玉琳[1,2] 吴觉敏[1] 

机构地区：[1]上海交通大学护理学院,上海200025 [2]上海交通大学医学院附属瑞金医院护理部,上海200025

出　　处：《上海交通大学学报（医学版）》2013年第5期571-575,共5页Journal of Shanghai Jiao tong University:Medical Science

摘　　要：目的了解糖尿病患者足部护理知识与行为的现状,分析其影响因素。方法采用自行设计的问卷对292例糖尿病患者的糖尿病足认知、足部护理知识和自我护理行为进行调查。结果掌握60%以上正确知识和行为的患者仅占总数的30.5%;患者对糖尿病足的认知以及日常足部自我检查知识与行为表现最差,对鞋袜的正确选择和穿着有一定的了解;患者的知识与行为水平受到性别、年龄、文化程度、就诊医院等级以及有无糖尿病专科护士指导等因素的影响。结论糖尿病患者足部护理知识缺乏,足部护理行为不当,有必要加强并规范足部护理相关健康教育,提高患者足部自我护理的意识和能力。Objective To investigate and analyse the influencing factors the status of foot self-care knowledge and behaviors in patients with diabetes mellitus, Methods Two hundred and ninety-two patients with diabetes mellitus were surveyed with self-designed questionnaire on diabetic foot recognition, foot self-care knowledge and behaviors. Results Only 30.5% patients mastered over 60% of correct knowledge and behaviors. Patients showed deficiency in recognition of diabetic foot, knowledge on daily foot self-examination and behaviors, while had some learning on choosing proper shoes and socks. The status of knowledge and behaviors of patients was influenced by the gender, age, education, level of hospital and guidance from diabetes specialist nurses. Conclusion Patients with diabetes mellitus may lack of foot self-care knowledge and proper behaviors. Systematic educational approaches on foot care should be introduced to enhance the awareness and ability of foot self-care.

关 键 词：糖尿病 糖尿病足 自我护理 知识 行为 

分 类 号：R587.1[医药卫生—内分泌] R47[医药卫生—内科学]